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Orthopedics and Traumatology

A careful early approach and a detailed treatment plan with numerous concurrent complicating variables are major challenges. In addition to dealing with more complex injuries, complex trauma requires specific resources from the specialty, reconstruction and idle stretching, both for managing acute trauma and trauma sequelae, angular bone deformities, bone loss, osteomyelitis, pseudarthrosis, joint stiffness, tissue injuries, joint injuries, associated neurological injuries, among other possible ones.

 

Musculoskeletal injuries must be prioritized and, with an assertive treatment plan, there will be concomitant early rehabilitation to obtain optimized function.

 

Among the most frequent diagnoses of complex trauma we have:

  • Exposed fractures. 

  • Comminuted fractures (with a large number of fragments). 

  • Fracture in several segments of the same bone or in several segments. 

  • Soft tissue injuries associated with flexor and extensor mechanism injury, skin and substance losses. 

  • Infectious complications such as osteomyelitis.

  • Complications such as limb shortening. 

  • Length discrepancy. 

  • Angular deformities.

  • Pseudoarthritis (nonunion) 

  • Joint stiffness. 

  • Trauma sequelae

Complex trauma

Varus Deformity Post 
Traumatic of the Distal Femus

Correction with fixator technique watching correction with retrograde intramedullary nail.

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