PT  - JOURNAL ARTICLE
AU  - Jamjoom, Bakur A.
AU  - Jamjoom, Abdulhakim B.
TI  - Timing of long bone fracture fixation in severe traumatic brain injury
DP  - 2012 Apr 01
TA  - Neurosciences Journal
PG  - 111--114
VI  - 17
IP  - 2
4099  - http://nsj.org.sa/content/17/2/111.short
4100  - http://nsj.org.sa/content/17/2/111.full
SO  - Neurosciences (Riyadh)2012 Apr 01; 17
AB  - 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.