CMSA Higher Diploma In Orthopaedics Practice Questions - Higher Diploma In Orthopaedics Of The College Of Orthopaedic Surgeons Of South Africa [H Dip Orth(SA)] Exam

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A 28-year-old polytrauma patient arrives in shock with a core temperature of 33.8°C, arterial pH of 7.15, and an INR of 2.1. Radiographs show a displaced pelvic ring injury and bilateral open femoral shaft fractures. What is the most appropriate initial orthopaedic management strategy?

Immediate bilateral total femur ORIF with long anatomical plates Damage Control Orthopaedics (DCO) with rapid external fixation and pelvic binder application Definitive reamed intramedullary nailing of both femora taking 6 hours Conservative non-operative skeletal traction in the trauma bay

Correct Answer:

Damage Control Orthopaedics (DCO) with rapid external fixation and pelvic binder application

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