[When is rigid internal fixation indicate din multiple injuries with head trauma? (author's transl)].

Operative fracture treatment is an important therapeutic measure in patients with cranial and other multiple injuries. If signs of reversible brain stem injury are present, the operative fixation of the long tubular bone fractures is indicated, whereas it contraindicated with irreversible damages to the brain stem. Nursing of the patients in coma is much more feasible after rigid internal fixation. Loss of consciousness alone is no contraindication of internal fixation.