Current Strategies in the Management of Complicated Fractures
<p>The treatment paradigm for complex fractures has transformed into a multidisciplinary framework that integrates mechanical stability, soft-tissue preservation, and patient-specific optimization. High-energy injuries frequently complicate management due to extensive comminution, significant soft-t...
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| Formato: | Capítulo de libro |
| Lenguaje: | inglés |
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IntechOpen
2026
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| Acceso en línea: | https://www.intechopen.com/chapters/1237301 |
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| _version_ | 1879164893274308608 |
|---|---|
| author | Yüncü, Murat |
| author_browse | Yüncü, Murat |
| author_facet | Yüncü, Murat |
| author_sort | Yüncü, Murat |
| building | IntechOpen |
| collection | Acceso abierto |
| description | <p>The treatment paradigm for complex fractures has transformed into a multidisciplinary framework that integrates mechanical stability, soft-tissue preservation, and patient-specific optimization. High-energy injuries frequently complicate management due to extensive comminution, significant soft-tissue compromise, and an elevated risk of infection. Contemporary strategies emphasize biological osteosynthesis and minimally invasive fixation techniques, aiming to preserve vascularity, minimize iatrogenic trauma, and enhance the intrinsic healing environment. The incorporation of digital technologies – including preoperative three-dimensional (3D) planning, patient-specific implants, and computer-assisted reduction – has further refined surgical precision, improving reduction quality and reducing operative morbidity. Infection prevention remains a central priority in the management of these injuries. Early antibiotic prophylaxis, timely and thorough debridement, and coordinated orthoplastic collaboration substantially reduce postoperative complications. Standardized diagnostic criteria and structured multidisciplinary team (MDT) decision-making are essential components in the treatment of fracture-related infection. Moreover, orthobiologic interventions such as mesenchymal stem cells, platelet-rich plasma, and bone morphogenetic proteins have expanded therapeutic options, particularly in challenging cases of delayed union and nonunion, by enhancing the biological potential for regeneration. In geriatric patients, individualized care pathways incorporating metabolic optimization, principles of fragility fracture management, and orthogeriatric co-management have been shown to reduce complications and facilitate early mobilization. Overall, the modern approach to complex fractures is defined by the integration of biology, biomechanics, and clinical reasoning. This chapter provides a comprehensive and up-to-date overview of these evolving concepts, highlighting the ongoing shift toward personalized, biologically attuned, and multidisciplinary trauma care.</p> |
| doi_str_mv | 10.5772/intechopen.1014248 |
| first_indexed | 2026-10-15T21:41:34Z |
| format | Book Chapter |
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<dc:title>Current Strategies in the Management of Complicated Fractures</dc:title>
<dc:creator>Murat Yüncü</dc:creator>
<dc:subject>Health Sciences</dc:subject>
<dc:description><p>The treatment paradigm for complex fractures has transformed into a multidisciplinary framework that integrates mechanical stability, soft-tissue preservation, and patient-specific optimization. High-energy injuries frequently complicate management due to extensive comminution, significant soft-tissue compromise, and an elevated risk of infection. Contemporary strategies emphasize biological osteosynthesis and minimally invasive fixation techniques, aiming to preserve vascularity, minimize iatrogenic trauma, and enhance the intrinsic healing environment. The incorporation of digital technologies &ndash; including preoperative three-dimensional (3D) planning, patient-specific implants, and computer-assisted reduction &ndash; has further refined surgical precision, improving reduction quality and reducing operative morbidity. Infection prevention remains a central priority in the management of these injuries. Early antibiotic prophylaxis, timely and thorough debridement, and coordinated orthoplastic collaboration substantially reduce postoperative complications. Standardized diagnostic criteria and structured multidisciplinary team (MDT) decision-making are essential components in the treatment of fracture-related infection. Moreover, orthobiologic interventions such as mesenchymal stem cells, platelet-rich plasma, and bone morphogenetic proteins have expanded therapeutic options, particularly in challenging cases of delayed union and nonunion, by enhancing the biological potential for regeneration. In geriatric patients, individualized care pathways incorporating metabolic optimization, principles of fragility fracture management, and orthogeriatric co-management have been shown to reduce complications and facilitate early mobilization. Overall, the modern approach to complex fractures is defined by the integration of biology, biomechanics, and clinical reasoning. This chapter provides a comprehensive and up-to-date overview of these evolving concepts, highlighting the ongoing shift toward personalized, biologically attuned, and multidisciplinary trauma care.</p></dc:description>
<dc:publisher>IntechOpen</dc:publisher>
<dc:date>2026-01-21</dc:date>
<dc:type>Chapter, Part Of Book</dc:type>
<dc:identifier>https://www.intechopen.com/chapters/1237301</dc:identifier>
<dc:identifier>doi:10.5772/intechopen.1014248</dc:identifier>
<dc:language>en</dc:language>
<dc:relation>ISBN:978-1-83769-821-9</dc:relation>
<dc:rights>https://creativecommons.org/licenses/by/3.0/</dc:rights>
<dc:source>https://www.intechopen.com/books/1004975 ; Current Maxillofacial and Orthopedic Fracture Management - Techniques and Challenges</dc:source>
</oai_dc:dc> |
| id | intech-1237301 |
| institution | IntechOpen |
| isbn | 978-1-83769-821-9 |
| language | English |
| last_indexed | 2026-10-15T21:41:34Z |
| publishDate | 2026 |
| publishDateRange | 2026 |
| publishDateSort | 2026 |
| publisher | IntechOpen |
| publisherStr | IntechOpen |
| record_format | oai_dc |
| spelling | intech-12373012026-01-21 Current Strategies in the Management of Complicated Fractures Murat Yüncü Health Sciences <p>The treatment paradigm for complex fractures has transformed into a multidisciplinary framework that integrates mechanical stability, soft-tissue preservation, and patient-specific optimization. High-energy injuries frequently complicate management due to extensive comminution, significant soft-tissue compromise, and an elevated risk of infection. Contemporary strategies emphasize biological osteosynthesis and minimally invasive fixation techniques, aiming to preserve vascularity, minimize iatrogenic trauma, and enhance the intrinsic healing environment. The incorporation of digital technologies – including preoperative three-dimensional (3D) planning, patient-specific implants, and computer-assisted reduction – has further refined surgical precision, improving reduction quality and reducing operative morbidity. Infection prevention remains a central priority in the management of these injuries. Early antibiotic prophylaxis, timely and thorough debridement, and coordinated orthoplastic collaboration substantially reduce postoperative complications. Standardized diagnostic criteria and structured multidisciplinary team (MDT) decision-making are essential components in the treatment of fracture-related infection. Moreover, orthobiologic interventions such as mesenchymal stem cells, platelet-rich plasma, and bone morphogenetic proteins have expanded therapeutic options, particularly in challenging cases of delayed union and nonunion, by enhancing the biological potential for regeneration. In geriatric patients, individualized care pathways incorporating metabolic optimization, principles of fragility fracture management, and orthogeriatric co-management have been shown to reduce complications and facilitate early mobilization. Overall, the modern approach to complex fractures is defined by the integration of biology, biomechanics, and clinical reasoning. This chapter provides a comprehensive and up-to-date overview of these evolving concepts, highlighting the ongoing shift toward personalized, biologically attuned, and multidisciplinary trauma care.</p> IntechOpen 2026-01-21 Chapter, Part Of Book https://www.intechopen.com/chapters/1237301 doi:10.5772/intechopen.1014248 en ISBN:978-1-83769-821-9 https://creativecommons.org/licenses/by/3.0/ https://www.intechopen.com/books/1004975 ; Current Maxillofacial and Orthopedic Fracture Management - Techniques and Challenges |
| spellingShingle | Health Sciences Yüncü, Murat Current Strategies in the Management of Complicated Fractures |
| title | Current Strategies in the Management of Complicated Fractures |
| title_full | Current Strategies in the Management of Complicated Fractures |
| title_fullStr | Current Strategies in the Management of Complicated Fractures |
| title_full_unstemmed | Current Strategies in the Management of Complicated Fractures |
| title_short | Current Strategies in the Management of Complicated Fractures |
| title_sort | current strategies in the management of complicated fractures |
| topic | Health Sciences |
| url | https://www.intechopen.com/chapters/1237301 |
| work_keys_str_mv | AT yuncumurat currentstrategiesinthemanagementofcomplicatedfractures |