title: [Saving the extremity by massive transfusion in grade III open femoral fracture with vascular lesion. A case report].
abstract: The major problems in the treatment of open fractures with high blood loss are hypothermia acidosis and coagulopathy. By improving the standards of polytrauma management and using massive transfusion systems, which should help to avoid those complications, the indication for primary limb salvage under hypovolemic shock conditions is greatly increased. The following case of an grade 3 open fracture of the femur with severe soft-tissue damage, including vascular lesions, with consecutive massive transfusion, should demonstrate that the cardiac-respiratory system can still be stabilized, even if a surgical solution seems impossible.
authors.affiliation: Universitätsklinik für Unfallchirurgie Wien.
authors.forename: C
authors.initials: C
authors.lastname: Fialka
authors.forename: T
authors.initials: T
authors.lastname: Publig
authors.forename: M
authors.initials: M
authors.lastname: Fuchs
authors.forename: R
authors.initials: R
authors.lastname: Stocker
authors.forename: V
authors.initials: V
authors.lastname: Vécsei
mesh_terms: D000328:Adult; D016063:Blood Loss, Surgical / Q000503:physiopathology; D003646:Debridement; D017707:Erythrocyte Transfusion; D005264:Femoral Fractures / Q000601:surgery*; D005268:Femoral Vein / Q000293:injuries* / Q000601:surgery; D005440:Fluid Therapy; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000601:surgery*; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D017713:Platelet Transfusion; D012771:Shock, Hemorrhagic / Q000601:surgery*; D017695:Soft Tissue Injuries / Q000601:surgery