Management of complex traumas of limbs

The traumas of the limbs constitute a complex surgical problem, difficult to solve and in an emergency. the involvement of the bone lesions, the arterial blood vessels, muscles and nerves as well as the skin are a multidisciplinary problem. Often it is also polytraumatized patients with chest illnesses, abdominal and cranial. After discussing the large series, the authors dwell on the need for immediate treatment multidisciplinary of all traumatic injuries including fractures, with these rapid techniques such as external fixation or intramedullary nails with Ender, in order not to prolong surgical times.