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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest solution for compound fracture on thigh

Brother is in a drug induced coma following a severe head injury. He also has a compound fracture of the thigh. Is it your opinion, based on brother being 20 and otherwise healthy, that surgery on the thigh fracture should wait until he is out of the induced coma. Coma was induced d/t increasing icp which is being closey monitored and is improving. Current icp 32mmhg, vs are stable, no major internal injuries.Thank You for your opinion.
Wed, 9 Mar 2016
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Orthopaedic Surgeon, Joint Replacement 's  Response
hi,
thanks for writing to healthcaremagic.

yes, surgery for thigh fracture can wait till your brother is out of coma.

thigh fracture, although should be trearted early, but is certainly not an emergency especially for a patient who is in coma.

till then his fracture should be immobilised atleast by an external splint with or without traction, which i am sure your doctors must have done.

surgery can be done once he is out of coma and anaesthesist certifies him fit to undergo surgery.

hope i have been of help to you.

if satisfied, please rate my reply
thank you
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