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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...

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Detalles Bibliográficos
Clasificación:Libro Electrónico
Autores principales: Lerner, Alexander (Autor), Reis, Daniel (Autor), Soudry, Michael (Autor)
Autor Corporativo: SpringerLink (Online service)
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Berlin, Heidelberg : Springer Berlin Heidelberg : Imprint: Springer, 2007.
Edición:1st ed. 2007.
Temas:
Acceso en línea:Texto Completo
Tabla de Contenidos:
  • 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.