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Multidisciplinary Management of the Mangled Lower Extremity: Part I
Nyi-Rein Kyaw1, Cory M Czajka1, Afshin A Anoushiravani2
1Department of Orthopaedic Surgery, Albany Medical Center, Albany, NY, USA.
Abstract:
The management of mangled extremities has long produced contention among the orthopaedic surgery community due to injury complexity and difficulty predicting postoperative outcomes for limb reconstruction and amputation. This review discusses a series of reliable prognostic indicators and socioeconomic factors that can drastically alter the feasibility and burden of various treatments for mangled lower extremity patients and treating surgeons. This review emphasizes an integrated, multidisciplinary approach to mangled extremity management, allowing for efficient utilization of resources and prompt stabilization and fixation for patients. The guidelines detailed in thie review may expedite clinical decision-making and improve outcomes for future patients.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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