Staged Surgical Management of Multiple Fractures in Polytrauma Patient

Multiple trauma usually results from RTAs or falls, affecting several systems. Treatment should be properly designated according to the type of injury, patient's assessment and health-care-serving status. Damage-control orthopaedics aims at improving the patient's physiological status as to delay any orthopaedic surgery that may worsen the patient's condition, meanwhile achieving provisional stability of the fractures. In this work, a patient with multiple fractures at once was managed using this approach. Advanced trauma life support (ATLS) was firstly applied, followed by reduction and fixation. The patient administered long- term prophylactic antibiotics and possessed physiotherapy sessions from the first week. On 3 and 6 months postoperatively, the patient showed progress and regained his ability to work and live normally