Abstract:
With the advancement of modernization, number of complex trauma along with devastating open fractures and vascular injuries are also increasing. The pattern of trauma is changing from low velocity injury to high velocity injury with time, giving rise to complications like ARDS, FES, multiple organ dysfunction, infection, nonunion, delayed union and prolonged morbidity. Every injury is different and there may not be clear guideline for management of such complex injuries. Every individual should be treated differently. These sorts of injury, in fact, is escalating the time and cost of treatment with prolonged psychological, physiological and social impairment to the family and patient. To overcome or address these problems, it requires a dedicated team, prompt management and dedication. Here we like to share our experience of management of such injuries for the last thirteen years with promising results.
Keywords: Complex, Trauma, Challenge, management
Biography:
Dr. Pramod Lamichhane is a Senior Orthopaedic Surgeon and head of Department of Orthopaedics and the chairperson of Alive Hospital and Trauma Centre. He earned his MBBS and Masters in Orthopaedics degree at the Kathmandu University from 2000- 2009. Dr Lamichhane worked with Professor Ashok Kumar Banskota at B & B hospital, a busy renowned trauma centre at Kathmandu, Nepal 150 kilometers south west of Kathmandu. His sound knowledge in trauma developed the system of prompt treatment of trauma victims, especially open injuries with excellent results and he was awarded as the best young Orthopaedic Surgeons in 2nd Nepal Japan Annual Orthopaedic Symposium in 2013. He is also sound in Spine surgeries, Paediatric orthopaedics and in rehabilitation of physically disabled persons. He has been organizing national and international CME and workshops regularly. He is also a senior Vice President of Nepal Orthopaedic Association, Chitwan chapter and life member of Asia Pacific Orthopaedic Association. Also, he was the first author of the book ' 'Orthopaedics' Practice in Nepal, Controversies, Tips Tricks and Solution.
