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  • Book
    Raymond A. Pensy, John V. Ingari, editors.
    Summary: This practical and generously illustrated text presents the current concepts regarding the management of the mangled extremity, including microsurgery, vascular surgery, free tissue, nerve, hand, and replantation surgery. Since the advent of microsurgical reconstruction, significant progress has been made in the areas of replantation, free tissue transfer, as well as the refinement of skeletal fixation techniques. The scope will encompass the initial triage of a patient with a mangled upper or lower extremity, the initial and subsequent reconstructive efforts, to include skeletal fixation, vascular and soft tissue reconstruction, muscle and tendon transfers, psychological impact, therapy requirements, amputation considerations, and current data on salvage versus amputation in these scenarios. Case examples will be included to add further depth and context to the techniques and recommendations provided. Presenting these surgical challenges in detail, The Mangled Extremity will be an ideal resource for orthopedic and trauma surgeons, residents and fellows, as well as emergency surgeons facing these intense, traumatic injuries.

    Rebuilding the Mangled Extremity: Foundation to Rooftop
    The Triage of the Patient with the Mangled Extremity
    Temporizing and Definitive Skeletal Fixation for the Mangled Lower Extremity
    Temporizing and Definitive Skeletal Fixation for the Mangled Upper Extremity
    Revascularization of the Mangled Limb
    Replantation of the Mangled Upper Extremity
    Non-Microsurgical Soft Tissue Coverage of the Mangled Limb
    Microsurgical Reconstruction for the Mangled Limb
    Growing Bone: Lengthening and Grafting
    Restoring Function: Tendon and Nerve Transfers
    Functional Muscle Transfer for the Mangled Limb
    The Psychological Impact of the Mangled Limb
    Therapy Requirements and Goals of the Patient with the Mangled Limb
    Non-Opioid Strategies for Pain Management
    Salvage vs. Amputation: Lower Extremity and Upper Extremity
    Orthotic Management of the Mangled Extremity
    Prosthetic Care for the Mangled Extremity
    The Mangled Extremity: Osseointegration.
    Digital Access Springer 2021