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Outcome and Management of Primary Amputations, Subtotal Amputation Injuries, and Severe Open Fractures with Nerve Injuries

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The Poly-Traumatized Patient with Fractures

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Abstract

Patients with severe lower-extremity trauma present multiple challenges to the treatment teams involved in their care. Often there is considerable debate surrounding limb-salvage or to proceed with early amputation. Prior to the LEAP study (Lower Extremity Assessment Project), high-level evidence assisting the clinician in this decision was lacking. This chapter details the findings of the LEAP study and other studies and provides the surgeon and other members of the treatment team valuable information and guidance in the management and counseling of the trauma patient with severe limb-threatening trauma.

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Author information

Authors and Affiliations

  1. Mayo Medical School, Rochester, MN, USA

    William W. Cross III

  2. Department of Orthopaedic Surgery, Mayo Clinic, Rochester, MN, USA

    William W. Cross III

  3. Department of Orthopaedic Surgery, University of Minnesota and TRIA Orthopaedic Center, University of Minnesota, Minneapolis, MN, USA

    Marc F. Swiontkowski

  4. University of Minnesota Medical School, Minneapolis, MN, USA

    Marc F. Swiontkowski

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  1. William W. Cross III
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  2. Marc F. Swiontkowski
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Correspondence to Marc F. Swiontkowski .

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Editors and Affiliations

  1. Klinik für Unfallchirurgie, Universitätsklinikum Aachen, Pauwelsstraße 30, Aachen, 52057, Germany

    Hans-Christoph Pape

  2. Florida Orthopaedic Institute, N. Telecom Parkway 13020, Temple Terrace, 33637, Florida, USA

    Roy Sanders

  3. Southwestern Medical Center at Dallas, University of Texas, Harry Hines Blvd. 5323, Dallas, 75390, Texas, USA

    Joseph Borrelli, Jr.

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Cross, W.W., Swiontkowski, M.F. (2011). Outcome and Management of Primary Amputations, Subtotal Amputation Injuries, and Severe Open Fractures with Nerve Injuries. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-17986-0_22

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  • DOI: https://doi.org/10.1007/978-3-642-17986-0_22

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