Severe Injuries to the Limbs Staged Treatment
Modern weapons and high-energy accidents inflict devastating damage to soft tissue and bone. The gold standard for stabilizing high-energy fractures is immediate external fixation followed by thorough debridement of soft tissues and dead bone and irrigation, since these injuries are always grossly c...
| Main Authors: | , , |
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| Format: | eBook |
| Language: | English |
| Published: |
Berlin, Heidelberg
Springer Berlin Heidelberg
2007, 2007
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| Edition: | 1st ed. 2007 |
| Subjects: | |
| Online Access: | |
| Collection: | Springer eBooks 2005- - Collection details see MPG.ReNa |
Table of Contents:
- Introduction: Statistics
- Epidemiology. Etiology and pathogenesis
- Missile injuries
- Explosive – Blast – Crush injuries. Classification according to extent of bone and soft tissue loss. Primary treatment and 'damage control': Tissue debridement of high-energy injuries
- Primary skeletal stabilization (unilateral external fixation frames, hybrid frames, temporary articular bridging)
- Soft-tissue protection by external fixation frames
- Vascular reconstruction. Soft-tissue coverage (delayed primary suture, skin and local tissue flaps, free tissue flaps). Definitive skeletal reconstruction: Ilizarov circular fixation
- Hybrid frames (variations in modular combination between different types of external fixation devices)
- Hinged fixation of peri-articular injuries
- Peculiarity of the elbow joint reconstruction: methods of isolated hybrid external fixation of humeral, ulnar and radial bones
- Arthrodesis in extensive joint destruction. Limb salvage in severe bone and soft tissue loss: Bone reconstruction by callotasis and bone transport
- Acute shortening
- Acute shortening and angulation. Post-traumatic infection: Soft tissue
- Bone. Early functional rehabilitation, especially in peri-articular injuries: Active and passive joint mobilization in external frames
- Weight bearing
- Tactics in bilateral lower limb injuries, including one-sided limb loss. Algorithms and conclusions