Publication Name	World Journal of Orthopedics
Manuscript ID	42564
Country	Spain

Category	Orthopedics
Manuscript Type	Editorial
Article Title	Damage control orthopaedics: State of the art
Manuscript Source	Invited Manuscript
All Author List	Enrique Guerado, Maria Luisa Bertrand, Juan Ramon Cano, Ana María Cerván and Adolfo Galán
Funding Agency and Grant Number
Corresponding Author	Enrique Guerado, BSc, DPhil, FRCS (Hon), MD, MSc, PhD, Chief Doctor, Department of Orthopaedic Surgery and Traumatology, Hospital Costa del Sol, University of Malaga, Autovía A-7, Km 187, Marbella 29603, Malaga, Spain. eguerado@hcs.es
Key Words	Damage control orthopaedics; Early total care; Early appropriate care; Polytrauma; Resuscitation; External fixation; Packing; Embolisation; Compartment syndrome
Core Tip	Damage control orthopaedics (DCO) is the treatment of lesions that provoke major bleeding and pathological inflammatory response, whilst avoiding the traumatic effects of major surgery in a patient who is already traumatised (the “second hit” effect). The concept of DCO has not previously been validated and much controversy remains as to whether the indiscriminate application of DCO might be clinically and economically harmful. In addition, parameters associated with the acid-base system have been published with the idea that the existence of normalised parameters will enable patients to receive major surgical procedures, under a concept termed early appropriate care. This paper discusses the above concepts.
Citation	Guerado E, Bertrand ML, Cano JR, Cerván AM, Galán A. Damage control orthopaedics: State of the art. World J Orthop 2019; 10(1): 1-13

Received	2018-09-29 03:10
Peer-Review Started	2018-09-29 10:07
To Make the First Decision	2018-11-16 02:21
Return for Revision	2018-11-28 00:52
Revised	2018-12-11 17:50
Second Decision	2018-12-12 09:53
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2018-12-13 04:08
Articles in Press	2018-12-13 04:08
Publication Fee Transferred
Edit the Manuscript by Language Editor	2018-12-17 18:55
Typeset the Manuscript	2019-01-09 02:34

ISSN	2218-5836 (online)
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