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Abstract
Three hundred and seventy-one multiply injured patients with 1063 fractures, who were
admitted to our service over an 8-year period (1978–1985), were studied retrospectively.
The impact of early osteosynthesis on the overall, and especially of the late, mortality
due to sepsis was analysed. The patients were divided into two groups depending on
whether they were treated with osteosynthesis (group I) or underwent conservative
fracture treatment (group II).
The late mortality (more than 7 days after injury) due to sepsis fell to 1.8 per cent
in patients treated with osteosynthesis compared with 13.5 per cent (P < 0.001) in patients treated conservatively. The best results were obtained when
the osteosynthesis was performed within 24 hours after injury; less than 1 per cent
died from late sepsis.
We feel that fractures in multiply injured patients should be treated with early osteosynthesis
in order to reduce the late mortality from sepsis.
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References
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Article info
Publication history
Accepted:
October 24,
1986
Identification
Copyright
© 1987 Published by Elsevier Inc.
