[Fast track in casualty surgery].
The concept of "fast track" has not yet been established in orthopaedic trauma surgery. Principles such as those used in the "fast track" procedure for abdominal surgery have been employed in orthopaedic surgery for a long time. The best results can be achieved by early operative treatment, stable osteosynthesis and, if the soft tissues allow, an early initiation of mobilization under optimal pain management. Based on new techniques in osteosynthesis, in particular locked-screw techniques, "fast track" is also applicable for fragility fractures (osteoporosis), complex shattered bone and bone defect situations.
Bail
H J
HJ
Centrum für Muskuloskeletale Chirurgie, Charité-Universitätsmedizin Berlin, Augustenburger Platz 1, Berlin, Germany. hermann.bail@charite.de
Möbius
B
B
Haas
N P
NP
D000698:Analgesia / Q000191:economics; D003131:Combined Modality Therapy; D017046:Cost Savings; D004434:Early Ambulation / Q000191:economics; D005593:Fracture Fixation, Internal / Q000191:economics; D005858:Germany; D006801:Humans; D007902:Length of Stay / Q000191:economics; D019060:Minimally Invasive Surgical Procedures / Q000191:economics; D010348:Patient Care Team / Q000191:economics; D019564:Unnecessary Procedures / Q000191:economics; D014947:Wounds and Injuries / Q000191:economics / Q000601:surgery*