{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T07:13:11Z","timestamp":1783667591255,"version":"3.55.0"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Polyskeletal trauma involving multiple long-bone fractures presents major challenges in deciding the sequence and timing of fracture fixation. While early total care may benefit physiologically stable patients, staged management based on damage control orthopaedics is often safer in complex trauma. Evidence guiding fracture sequencing remains limited. This study reviews five patients managed using individualised staged fixation strategies.\n\nMaterials and Methods: A retrospective case series was conducted at a tertiary trauma centre after institutional ethics committee approval (IEC Ref: CSP-MED\/26\/FEB\/126\/62; dated February 27, 2026). Five adult patients with fractures involving two or more long bones were included. Data were collected from case records, operative notes, and radiographs. Variables analysed included injury pattern, associated injuries, temporary stabilisation, timing of definitive fixation, fixation sequence, and early outcomes.\n\nResults: All patients initially underwent damage control stabilisation using external fixation or splintage where indicated. Definitive fixation was performed in stages after physiological optimisation. Pelvic instability, pulmonary injury, cardiac contusion, metabolic comorbidity, soft-tissue compromise, and operative positioning influenced sequencing decisions. All patients achieved fracture stabilisation without major early implant-related complications.\n\nConclusion: Fracture sequencing in polyskeletal trauma should be individualised rather than protocol-driven. A staged approach guided by damage control orthopaedic principles allows safe definitive fixation while minimising systemic stress.\n\nKeywords: Polyskeletal trauma, damage control orthopedics, multiple fractures, fracture fixation, case series.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i07.7710","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:22:29Z","timestamp":1783664549000},"page":"426-431","source":"Crossref","is-referenced-by-count":0,"title":["Fracture Fixation Sequencing in Polyskeletal Trauma: Clinical Experience from a Five-Patient Retrospective Series"],"prefix":"10.13107","volume":"16","author":[{"given":"S Depak","family":"Charan","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srijay Sashaank","family":"Srinivasan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Sameer","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:22:30Z","timestamp":1783664550000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/07\/fracture-fixation-sequencing-in-polyskeletal-trauma-clinical-experience-from-a-five-patient-retrospective-series\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i07.7710","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]}}}