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Open Fractures and Limb Salvage

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Management of Musculoskeletal Injuries in the Trauma Patient

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Abstract

The management of severe open fractures of the lower extremity represents a challenge to the orthopedic surgeon. Implementation of protocols and guidelines from the field to the operating room should be standard in every hospital. Centers without the resources to care for these severely injured patients should transfer the wounded to those with high volumes and experience as early as possible. The outcomes following such injuries depend on a close collaboration between trauma team, orthopedic traumatologist and microvascular surgeon. When limb reconstruction is an option, an uphill battle is ahead of the patient, his family, and the orthopedic traumatologist. In this section, we propose to review the acute management of open fractures from the field to the operating room highlighting a controversies in decision making. We discuss options for soft tissue management of lower extremity open fractures both in the acute setting and during the “reconstructive phase.” Finally we review treatment options for segmental bone loss.

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  1. Department of Orthopaedics, Denver Health Medical Center, 777 Bannock Street, Denver, CO, 80204, USA

    Cyril Mauffrey MD, FRCS

  2. Hand-Microvascular Service, Department of Orthopaedics, Denver Health Medical Center, Denver, CO, USA

    Kyros Ipaktchi MD

  3. Departments of Trauma and Orthopaedics, University Hospitals Coventry and Warwickshire, Coventry, West Midlands, UK

    James C. Beazley MBChB, BSc

Authors
  1. Cyril Mauffrey MD, FRCS
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  2. Kyros Ipaktchi MD
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  3. James C. Beazley MBChB, BSc
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Correspondence to Cyril Mauffrey MD, FRCS .

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Editors and Affiliations

  1. Department of Orthopaedics, Swedish Medical Center, Englewood, Colorado, USA

    Wade R. Smith

  2. Department of Orthopedics, Denver Health Medical Center, Denver, Colorado, USA

    Philip F. Stahel

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© 2014 Springer Science+Business Media New York

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Mauffrey, C., Ipaktchi, K., Beazley, J.C. (2014). Open Fractures and Limb Salvage. In: Smith, W., Stahel, P. (eds) Management of Musculoskeletal Injuries in the Trauma Patient. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-8551-3_9

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  • DOI: https://doi.org/10.1007/978-1-4614-8551-3_9

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  • Publisher Name: Springer, New York, NY

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  • Online ISBN: 978-1-4614-8551-3

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