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Surgical Timing Preventing Pulmonary Complications in Femur Fracture Patients:

Discussion:
               - Trauma Work Up:
                         - Assessment of Perfusion: Damage Control Orthopaedics 
               - Preparation for Surgery
               - fat embolism syndrome 
 
                 - references:
                       - Early unreamed intramedullary nailing of femoral fractures is safe in patients with severe thoracic trauma. 
                       - Thoracic trauma and early intramedullary nailing of femur fractures: are we doing harm?
                       - Effects of changing strategies of fracture fixation on immunologic changes and systemic complications after multiple trauma: Damage control orthopedic surgery.
                       - Impact of the method of initial stabilization for femoral shaft fractures in patients with multiple injuries at risk for complications (borderline patients).
                       - Early versus Delayed Stabilization of Femoral Fractures.  A Prospective Randomized Study
                       - Blunt multiple trauma (ISS 36), femur traction, and the pulmonary  failure-septic state
                       - Immediate Nailing of Open Fractures of the Femoral Shaft
                       - Primary intramedullary femur fixation in multiple trauma patients with associated lung contusion--a cause of posttraumatic ARDS? 
                       - Pulmonary damage after intramedullary femoral nailing in traumatized sheep--is there an effect from different nailing methods?
                       - Prediction of pulmonary morbidity and mortality in patients with femur fracture 
                       - Timing of femur fracture fixation: effect on outcome in patients with thoracic and head injuries
                       - Early Appropriate Care: Definitive Stabilization of Femoral Fractures Within 24 Hours of Injury Is Safe in Most Patients With Multiple Injuries
                       - Skeletal traction versus external fixation in the initial temporization of femoral shaft fractures in severely injured patients
                       - Safety and efficacy of damage control external fixation vs early definitive stabilization for femoral shaft fractures in the multiple-injured patient.
                       - Resuscitation before stabilization of femoral fractures limits ARDS in patients with multiple traumatic injuries despite low use of damage control orthopedics