Severe Injuries to the Limbs: Staged Treatment

ISBN-13: 9783642089367 / Angielski / Miękka / 2010 / 223 str.

Alexander Lerner; Daniel Reis; Michael Soudry

Opis

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 contaminated. The next stage of treatment - the coverage of exposed bone by vital soft tissue and definitive skeletal stabilization and reconstruction - can be a complex surgical challenge. The protocol of staged external fixation developed by the authors: primary temporary unilateral tubular stabilization followed by definitive circular Ilizarov (hybrid) fixation, is outlined and comprehensively described in this book. The text provides guidelines for the young surgeon as well as the senior orthopedic trauma surgeon in staged definitive limb functional reconstruction. The rationale and advantages of a logical progression of surgical steps are explained and fully illustrated throughout, drawing from an archive of clinical photographs and X-ray documentation covering all steps of the treatment protocol in a large variety of complex cases, including extensive bone and soft tissue loss. This practical guide is based on the accumulated experience of 40 years in the treatment of severe injuries of the musculoskeletal system with grave tissue loss, and in particular war injuries. Emphasis is given to the proper attention and care of the soft tissues, sequential damage control, and the judicious staged use of appropriate external fixation.

Recenzje

"...In this book, the authors make an eloquent plea for extensive use of external fixator technology to avoid secondary injury to extremities when fractures include significant soft tissue injury. While the damage control specialist will treasure this book for the quality of illustrations alone, the orthopedist treating war or terrorism injuries may benefit from the perspectives presented here." (D.J. Dries, University of Minnesota Medical School, Doody's)

Spis treści

Primary Treatment.- Definitive Reconstruction.- Rehabilitation.- Treatment Algorithm for Missile Open Fractures of the Limbs.- Conclusions.

O autorze

Modern weapons and high-energy accidents inflict devastating damage to soft tissue and bone. This book details the protocol of staged external fixation developed by the authors: primary temporary unilateral tubular stabilization followed by definitive circular Ilizarov (hybrid) fixation. The text is based on the vast experience of the Rambam Medical Center in Haifa, Israel. Coverage explains and fully illustrates the rationale and advantages of a logical progression of surgical steps. The book draws from an archive of clinical photographs and X-ray documentation that cover all steps in a large variety of complex cases, including extensive bone and soft tissue loss.