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Year : 2018  |  Volume : 52  |  Issue : 5  |  Page : 454-461

Management of orthopaedic injuries in multiply injured child

Department of Trauma and Orthopaedics, King's College Hospital, Denmark Hill, London, UK

Correspondence Address:
Dr. Om Lahoti
King's College Hospital, Denmark Hill, London SE5 9RS
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ortho.IJOrtho_359_17

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Multiply injured child is a unique challenge to the medical communities worldwide. It is a leading cause of preventable mortality and morbidity in children. Common skeletal injuries include closed or open fractures of tibia and femur and pelvic injuries. Initial management focuses on saving life and then saving limb as per pediatric advanced life support and advanced trauma life support. Orthopedic management of open fracture includes splinting the limb, administration of prophylactic antibiotic, and surgical debridement of the wound when safe. However, gross contamination, compartment syndrome, and vascular injuries demand urgent attention.

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