Rebuilding the Mangled Extremity: Foundation to RooftoThe Triage of the Patient with the Mangled ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Lower ExtremityTemporizing and Definitive Skeletal Fixation for the Mangled Upper ExtremityRevascularization of the Mangled LimbReplantation of the Mangled Upper ExtremityNon-Microsurgical Soft Tissue Coverage of the Mangled LimbMicrosurgical Reconstruction for the Mangled Limb.- Growing Bone: Lengthening and GraftingRestoring Function: Tendon and Nerve TransfersFunctional Muscle Transfer for the Mangled LimbThe Psychological Impact of the Mangled LimbTherapy Requirements and Goals of the Patient with the Mangled LimbNon-Opioid Strategies for Pain ManagementSalvage vs. Amputation: Lower Extremity and Upper ExtremityOrthotic Management of the Mangled ExtremityProsthetic Care for the Mangled ExtremityThe Mangled Extremity: Osseointegration
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 Pensy, MD
Program Director, Hand, Upper Extremity and Microvascular Fellowship
Chief, Hand & Upper Extremity Trauma
R Adams Cowley Shock Trauma Center
Division of Orthopaedic Traumatology
Department of Orthopaedic Surgery
John Ingari, MD, FAOA
Chief, Hand Surgery Division
Program Director, Orthopaedic Surgery
Sinai Hospital of Baltimore