Complex trauma surgeries involve the management of severe musculoskeletal injuries, often resulting from high-impact accidents such as road traffic collisions, falls from height, or industrial injuries. These cases typically present with multiple fractures, soft tissue damage, neurovascular injuries, or polytrauma, requiring a multidisciplinary approach for optimal recovery.

The primary goals of complex trauma surgery are to stabilize fractures, restore function, prevent complications such as infections or non-union, and facilitate rehabilitation. Advanced surgical techniques such as external and internal fixation, minimally invasive procedures, limb salvage surgery, and microvascular reconstruction play a crucial role in managing these challenging cases.

• Damage Control Orthopaedics (DCO): Staged surgical approach focusing on initial stabilization and delayed definitive fixation to minimize systemic complications.
• External Fixation: Used in open fractures and polytrauma cases for temporary or definitive stabilization.
• Internal Fixation: Plates, screws, and intramedullary nails used for definitive bone stabilization.
• Soft Tissue Reconstruction: Involves plastic and reconstructive techniques like skin grafts, local or free flaps for coverage of exposed bones or implants.
• Limb Salvage Surgery: Performed in severe crush injuries or open fractures to avoid amputation.
• Post-Surgical Rehabilitation: Early physiotherapy and weight-bearing protocols to restore mobility and function.