DAMAGE CONTROL SURGERY (DCS) FOR UNRECONSTRUCTABLE OPEN FRACTURE OF THE LOWER LIMB COMPLICATED BY HEMORRHAGIC SHOCK

Abstract

 Emergency medical care is very important in cases of open fracture with hemorrhagic shock, and we are forced to make a decision about amputation for hemostasis in some cases. However, we must perform osteotomy for such amputation, so there are problems such as a long operation time and the promotion of bleeding. In such cases, we conclude that disarticulation is effective. It is expected to be associated with a short surgery time and little bleeding. Here, we describe the rescue of 3 cases of open fracture of a lower limb that could not be rebuilt with hemorrhagic shock, by performing amputation stump plasty as a curative operation after damage control surgery (DCS) and intensive care. We could perform DCS more rapidly than a curative operation in all cases.