Figure 4. Orthopedic management of a hemodynamically unstable patient with polytrauma. A 30-year-old patient who was involved in a motorcycle accident, upon admission ISS 37 NISS 45 A. Admission radiograph of the left femur with open diaphyseal fracture B. After damage control radiography with external fixator C. Second surgical time 10 days later to admission with retrograde cephalic medullary nail D. 2 years after internal fixation in which adequate consolidation is observed.
