Complex Musculoskeletal Trauma — Orthopedic Surgery and Traumatology

Surgery · Clinical Specialties

How it begins

Advanced clinical-surgical treatment for the systemic and structural approach to polytraumatized patients. Molecular analysis of the inflammatory response, fracture physics, biological principles of consolidation and internal and external stabilization protocols in accordance with the most rigorous international standards.

What it covers

1. Systemic Pathophysiology of Musculoskeletal Trauma
2. · The Second Hit Phenomenon
3. · Trauma-Induced Coagulopathy (TIC): Molecular Pathophysiology
4. Biomechanics of Bone Tissue and Fracture Mechanisms
5. · Stress-Strain Curve (-) and Young's Modulus
6. · Loading Mechanisms and Fracture Patterns
7. Biology of Bone Consolidation
8. · Primary Consolidation (Direct or Cortical)
9. · Secondary Consolidation (Indirect or Endochondral)
10. Initial Evaluation of the Multiple Traumatized Patient and Damage Control Surgery
11. · Advanced ATLS Evaluation System
12. · Damage Control Orthopedics (DCO) vs. Early Total Care (ETC)
13. Open/Exposed Fractures: Pathophysiology and Gustilo-Anderson Classification
14. · Gustilo-Anderson Rating (Modified)
15. · Principles of Surgical Debridement
16. Acute Compartment Syndrome: Closed Loop Pathophysiology
17. · Molecular Physiopathology: The Vicious Circle of Ischemia
18. · Clinical Manifestations: The Six "Ps"
19. · Decompressive Fasciotomy Surgical Technique (Leg)
20. Principles of Osteosynthesis and Surgical Fixation (AO Philosophy)
21. · Absolute Stability vs. Relative Stability
22. · Classification of Plate Implants by Biomechanical Function
23. Pelvic and Acetabular Trauma
24. · Young and Burgess Classification (Injury Mechanism)
25. · Algorithm for Hemodynamic Control of Pelvic Trauma
26. · Acetabular Fractures: Introduction to Judet-Letournel
27. Dislocations and Fractures-Dislocations of Large Joints
28. · Hip Dislocation: Pathophysiology of Avascular Necrosis
29. · Knee Dislocation: Critical Vascular Emergency
30. Vertebro-Spinal Trauma (VMT) and Acute Spinal Cord Injury
31. · The Concept of Spinal Instability: Denis’ Three-Column Model
32. · American Spinal Injury Association (ASIA) Impairment Scale
33. · Spinal Shock vs. Neurogenic Shock
34. Periarticular Soft Tissue Injuries and Crush Syndrome
35. · Morel-Lavallée Closed Stripping Injury
36. · Crush Syndrome and Traumatic Rhabdomyolysis
37. Late and Chronic Complications of Musculoskeletal Trauma
38. · Consolidation Disorders: Pseudoarthrosis
39. · Posttraumatic Chronic Osteomyelitis
40. Principles of Traumatic Amputation, Limb Preservation and MESS
41. · Catastrophic Extremity Severity Score (MESS)
42. Differential Diagnosis Algorithms and Clinical Cases
43. · Decision Making Algorithm in High Energy Musculoskeletal Trauma
44. · Complex Clinical Cases and Reconstructive Integration