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,…mehr
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.
Raymond Pensy, MD Associate Professor Program Director, Hand, Upper Extremity and Microvascular Fellowship Chief, Hand & Upper Extremity Trauma R Adams Cowley Shock Trauma Center Division of Orthopaedic Traumatology Department of Orthopaedic Surgery John Ingari, MD, FAOA Associate Professor Chief, Hand Surgery Division Program Director, Orthopaedic Surgery Sinai Hospital of Baltimore
Inhaltsangabe
Rebuilding the Mangled Extremity: Foundation to RooftoThe Triage of the Patient with the Mangled ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Lower ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Upper ExtremityRevascularization of the Mangled LimbReplantation of the Mangled Upper ExtremityNon-Microsurgical Soft Tissue Coverage of the Mangled LimbMicrosurgical Reconstruction for the Mangled Limb.- Growing Bone: Lengthening and GraftingRestoring Function: Tendon and Nerve TransfersFunctional Muscle Transfer for the Mangled LimbThe Psychological Impact of the Mangled LimbTherapy Requirements and Goals of the Patient with the Mangled LimbNon-Opioid Strategies for Pain ManagementSalvage vs. Amputation: Lower Extremity and Upper ExtremityOrthotic Management of the Mangled ExtremityProsthetic Care for the Mangled ExtremityThe Mangled Extremity: Osseointegration
Rebuilding the Mangled Extremity: Foundation to Roofto 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
Rebuilding the Mangled Extremity: Foundation to RooftoThe Triage of the Patient with the Mangled ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Lower ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Upper ExtremityRevascularization of the Mangled LimbReplantation of the Mangled Upper ExtremityNon-Microsurgical Soft Tissue Coverage of the Mangled LimbMicrosurgical Reconstruction for the Mangled Limb.- Growing Bone: Lengthening and GraftingRestoring Function: Tendon and Nerve TransfersFunctional Muscle Transfer for the Mangled LimbThe Psychological Impact of the Mangled LimbTherapy Requirements and Goals of the Patient with the Mangled LimbNon-Opioid Strategies for Pain ManagementSalvage vs. Amputation: Lower Extremity and Upper ExtremityOrthotic Management of the Mangled ExtremityProsthetic Care for the Mangled ExtremityThe Mangled Extremity: Osseointegration
Rebuilding the Mangled Extremity: Foundation to Roofto 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
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