摘要：VICTIMS OF SIMULTANEOUS AND POLIVALENT TRAUMATICLESIONS, WITH MULTIPLE ETIOLOGY AND TOPOGRAPHY, PRESENT,PHYSIOPATOLOGICAL SPEAKING, A SYNTHESE OF PATOGENIC CORELATIONS OFALL ORGANS INVOLVED; THE MORTALITY IN THESE CASES ARE UP TO 14% INSPECIALISED TRAUMA HOSPITALS AND EVEN HIGHER FOR OLD PERSONS.OBJECTIVES: WE ASSESED THE MORTALITY RATE, TIME OF HOSPITALISATION,RATE OF COMPLICATIONS, FUNCTIONAL RECOVERY OF ELDERLY PATIENTS. WETRIED TO ESTABLISH A PROTOCOL FOR TREATING THESE POLYTRAUMATISEDPATIENTS.MATERIAL AND METHOD: BETWEEN 2009-2012 42 OLD PATIENTSPOLYTRAUMATISED (INCLUDING FRACTURES OF THE EXTREMITIES) WEREADMITTED IN OUR CLINIC WITH A MEAN AGE OF 75,4 YEARS (69-86 YEARS). IN 35PATIENTS WE USED SURGICAL TECHNIQUES FOR FRACTURES TREATING AND IN 7CASES CAST IMOBILISATION. SURGICAL TREATMENT HAS BEEN USED INEMERGENCY FOR 24 PATIENTS AND DELAYED FOR A MEAN 9,4 DAYS (1-17 DAYS)IN 11 PATIENTS. IN ALL 24 PATIENTS TREATED IN EMERGENCY AMULTIDISCIPLINARY SURGICAL TEAM (GENERAL SURGERY, NEUROSURGERY,THORACIC SURGERY, ORTHOPAEDIC SURGERY) WAS NECESSARY DEPENDING ONORGANS INVOLVED. IN DELAYED CASES THE ORTHOPAEDIC SURGICALTREATMENT CONSISTED IN CAST OR TRACTION IMOBILISATION IN EMERGENCYAND AFTER PATIENT STABILISATION BY THE OTHER SURGICAL SPECIALITIESDEFINITIVE FRACTURES FIXATION WAS USED. IN ALL CASES WITH UNSTABLEPELVIC FRACTURE WE PERFORMED EXTERNAL FIXATION WITH/WITHOUTILIOSACRAL SCREW IN EMERGENCY. THE FOLLOW-UP WAS 2 YEARS.
