Arab Board Orthopedic Surgery Final Practice Questions - Arab Board Of Health Specializations Orthopedic Surgery Final Written Examination Exam

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A 24-year-old polytrauma patient with bilateral closed femur fractures, a severe pulmonary contusion, and an ISS of 38 arrives in the trauma bay. Laboratory analysis demonstrates an arterial pH of 7.20, serum lactate of 4.5 mmol/L, base deficit of -8 mmol/L, and body temperature of 34.8°C. What is the recommended orthopedic strategy for the femur fractures?

Immediate bilateral reamed intramedullary nailing (Early Total Care) Temporary spanning external fixation with delayed definitive intramedullary nailing (Damage Control Orthopedics) Bilateral open reduction and locked plate fixation under prolonged general anesthesia Bilateral skeletal traction on a Bohler-Braun frame until fracture union

Correct Answer:

Temporary spanning external fixation with delayed definitive intramedullary nailing (Damage Control Orthopedics)

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