Der Wert der Frühosteosynthese der Oberschenkelfraktur bei der Kombinationsverletzung mit schwerem Schädelhirntrauma

Abstract

In explanation of our procedure in polytrauma in children, following aspects are listed:1. Where shock is manifest, an effort is made to alleviate it, to prevent the shock syndrome. If this necessitates an operation, it is carried out according to the indications.2. The dangers of anaesthesia in multiply injured patients is repeatedly emphasised in the literature. But a well-conducted anaesthesia can and must be a therapy. If it proves a successful therapy in the course of the emergency operation, the limb can and may be treated as well.3. Extremities take second place to shock, cerebral, thoracic and abdominal injuries, which should be diagnosed and treated first (Fig. 2).With these provisions, we consider the operative stabilisation of proximal fractures in children to be justified, even as part of primary care, and necessary in accelerating the process of healing, and in diminishing the extent of late complications following, especially, brain damage.