Severe Injuries to the Limbs Staged Treatment /

• Κύριοι συγγραφείς: Lerner, Alexander (Συγγραφέας), Reis, Daniel (Συγγραφέας), Soudry, Michael (Συγγραφέας)
• Συγγραφή απο Οργανισμό/Αρχή: SpringerLink (Online service)
• Μορφή: Ηλεκτρονική πηγή Ηλ. βιβλίο
• Γλώσσα: English
• Έκδοση: Berlin, Heidelberg : Springer Berlin Heidelberg, 2007.
• Θέματα: Medicine.; Emergency medicine.; Orthopedics.; Rehabilitation.; Plastic surgery.; Traumatology.; Vascular surgery.; Medicine & Public Health.; Surgical Orthopedics.; Emergency Medicine.; Traumatic Surgery.; Plastic Surgery.; Vascular Surgery.

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...

Πίνακας περιεχομένων:

• 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.