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Management of Malunions and Nonunions in Patients with Multiple Injuries

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The Poly-Traumatized Patient with Fractures

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Abstract

The multiply injured patient with concurrent skeletal fracture presents an intricate problem for the orthopedic traumatologist because of the challenges of fracture treatment coupled with the interaction of multiple tenuous organ systems. In focusing the attention towards the musculoskeletal injury, the orthopedic traumatologist must first recognize the key factors comprising the damage to the local musculoskeletal environment that may potentiate systemic organ failure in a critically ill patient. However more difficult decisions need to be rendered initially to prevent musculoskeletal complications such as malunion and nonunion that manifest later in the subacute phase of trauma, which may have a less clear benefit acutely to the systemic health of the patient.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, 3471 Fifth Avenue, Suite 1010, Pittsburgh, PA, 15213, USA

    Nicholas Greco BS, MD, Peter Siska MD & Ivan S. Tarkin MD

Authors
  1. Nicholas Greco BS, MD
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  2. Peter Siska MD
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  3. Ivan S. Tarkin MD
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Corresponding author

Correspondence to Ivan S. Tarkin MD .

Editor information

Editors and Affiliations

  1. Department of Trauma, Hand, Plastic and Reconstructive Surgery, Aachen Medical Center, Aachen, Germany

    Hans-Christoph Pape

  2. Florida Orthopaedic Institute, Temple Terrace, Florida, USA

    Roy Sanders

  3. Orthopedic Medicine Specialists, Arlington, Texas, USA

    Joseph Borrelli, Jr.

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Greco, N., Siska, P., Tarkin, I.S. (2016). Management of Malunions and Nonunions in Patients with Multiple Injuries. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47212-5_27

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  • DOI: https://doi.org/10.1007/978-3-662-47212-5_27

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-47211-8

  • Online ISBN: 978-3-662-47212-5

  • eBook Packages: MedicineMedicine (R0)

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