The Mangled Extremity

Evaluation and Management

Raymond A. Pensy, John V. Ingari (Herausgeber)

Buch | Hardcover

XIII, 295 Seiten

2021 | 1st ed. 2021
Springer International Publishing (Verlag)
978-3-319-56647-4 (ISBN)

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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 A. Pensy, MD, Assistant Professor, Division of Orthopedic Traumatology, Department of Orthopedics, University of Maryland, R. Adams Cowley Shock Trauma Center, Baltimore, MD, USA

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.

Erscheinungsdatum	22.01.2021
Zusatzinfo	XIII, 295 p. 191 illus., 149 illus. in color.
Verlagsort	Cham
Sprache	englisch
Maße	178 x 254 mm
Gewicht	866 g
Themenwelt	Medizinische Fachgebiete ► Chirurgie ► Unfallchirurgie / Orthopädie
Themenwelt	Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin
Schlagworte	Amputation • bone grafting • Bone lengthening • Debridement • Extremity replantation • Limb Salvage • Mangled extremity • Mangled limb • Microsurgical reconstruction • Nerve transfer • pain management • prosthetics • Reperfusion • Skeletal fixation • Soft tissue reconstruction • Tendon transfer • trauma surgery
ISBN-10	3-319-56647-4 / 3319566474
ISBN-13	978-3-319-56647-4 / 9783319566474
Zustand	Neuware