BookRaymond 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.
Contents:
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.