Orthopedic stabilization of fractures is necessary before the traumatic brain-injured (TOO patient is able to be mobilized. Early stabilization, within 24 hours of injury, allows early rehabilitation intervention, increasing the patient's potential for a good recovery. Late management of fractures results in longer immobilization of the patient, which can complicate the patient's recovery process. The immobile patient has a greater risk of infections, venous thrombosis development, pulmonary complications, skin breakdown, and contractures. With advances in monitoring and caring for the critically ill TBI patient, early orthopedic management is now possible for most patients, thus ensuring a better chance at a good recovery.