Larsen Morten Schultz
Ortopædkirurgisk Afdeling, Odense Universitetshospital, Sdr. Boulevard 9, 5000 Odense.
Ugeskr Laeger. 2011 May 2;173(18):1273-6.
Damage control orthopedics (DCO) is a concept for treatment of fractures in severely injured patients. The fractures are stabilized with external fixators instead of primary definitive osteosynthesis, known as early total care (ETC). The purpose of DCO is to minimize time of surgery and bleeding and thereby minimize the "second hit". Not all patients require DCO, patients with stable vital functions can safely be treated with primary definitive osteosynthesis, DCO is, however, a safe method that can be used, when shorter time of surgery is desirable or a systemic immune response is imminent.
损伤控制骨科（DCO）是一种针对严重受伤患者骨折治疗的理念。骨折采用外固定器进行固定，而非一期确定性骨固定，后者即早期全面治疗（ETC）。DCO的目的是将手术时间和出血量降至最低，从而将“二次打击”降至最低。并非所有患者都需要DCO，生命体征稳定的患者可安全地接受一期确定性骨固定治疗。然而，当希望缩短手术时间或即将出现全身免疫反应时，DCO是一种可采用的安全方法。
