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Review ArticleREVIEW ARTICLES
Open Access

Timing of long bone fracture fixation in severe traumatic brain injury

Bakur A. Jamjoom and Abdulhakim B. Jamjoom
Neurosciences Journal April 2012, 17 (2) 111-114;
Bakur A. Jamjoom
Trauma and Orthopedics Department, Kettering General Hospital, Kettering, Northamptonshire, United Kingdom.
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Abdulhakim B. Jamjoom
Trauma and Orthopedics Department, Kettering General Hospital, Kettering, Northamptonshire, United Kingdom.
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Abstract

We present a review of the published evidence on the optimal timing for long bone fracture fixation in severe traumatic brain injury (TBI); a matter that remains under debate. Fifteen retrospective articles (level II-3 evidence) were considered suitable for the review. We conclude that the published evidence does not provide a definitive answer to the optimal timing of long bone fracture surgery in severe TBI, and a randomized controlled trial is required. We recommend a safe strategy that combines damage control surgery with a period of monitoring of intracranial pressure, cerebral perfusion pressure, and if available brain tissue oxygen until the patient is considered fit for the fracture fixation.

  • Copyright: © Neurosciences

Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work.

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Neurosciences Journal: 17 (2)
Neurosciences Journal
Vol. 17, Issue 2
1 Apr 2012
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Timing of long bone fracture fixation in severe traumatic brain injury
Bakur A. Jamjoom, Abdulhakim B. Jamjoom
Neurosciences Journal Apr 2012, 17 (2) 111-114;

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Timing of long bone fracture fixation in severe traumatic brain injury
Bakur A. Jamjoom, Abdulhakim B. Jamjoom
Neurosciences Journal Apr 2012, 17 (2) 111-114;
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© 2025 Neurosciences Journal Neurosciences is copyright under the Berne Convention and the International Copyright Convention. All rights reserved. Neurosciences is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3183. Print ISSN 1319-6138.

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