Evaluating Early Appropriate Care Criteria for Acute Axial and Lower Extremity Fractures: A Large Database Propensity-Matched Cohort Study

EAC of spine, pelvis, or femur fractures following adequate resuscitation is associated with lower rates of deep vein thrombosis, pulmonary embolism, sepsis, and death in the early and intermediate postoperative period. Age-stratified analysis found younger cohorts were less likely to have myocardial infarction or stroke, along with lower mortality rates across multiple time points. These data highlight the importance of early definitive fixation of adequately resuscitated orthopaedic trauma patients, validating the findings of previous studies through a large, international database.