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Updated: Jan 11, 2026

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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.

The Orthopedic Clinics of North America
|November 16, 2025
PubMed
Summary
This summary is machine-generated.

Managing mangled extremities is complex. This review highlights prognostic indicators and socioeconomic factors to guide treatment decisions for limb reconstruction versus amputation, improving patient outcomes.

Keywords:
Lower extremityManagementMangled extremityMultidisciplinaryOutcomesPolytrauma

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Area of Science:

  • Orthopaedic Surgery
  • Trauma Management

Background:

  • Mangled extremity management presents challenges in predicting outcomes for limb reconstruction or amputation.
  • The complexity of these injuries often leads to debate within the orthopaedic surgery community.

Purpose of the Study:

  • To review reliable prognostic indicators and socioeconomic factors influencing mangled lower extremity treatment.
  • To emphasize an integrated, multidisciplinary approach for efficient patient management.
  • To provide guidelines for expediting clinical decision-making and improving outcomes.

Main Methods:

  • Literature review focusing on prognostic indicators for mangled extremities.
  • Analysis of socioeconomic factors impacting treatment feasibility and burden.
  • Synthesis of evidence supporting a multidisciplinary management strategy.

Main Results:

  • Identified key prognostic indicators and socioeconomic factors crucial for treatment planning.
  • Demonstrated the benefits of a multidisciplinary approach in resource utilization and patient stabilization.
  • Outlined guidelines to streamline decision-making processes.

Conclusions:

  • An integrated, multidisciplinary approach is essential for optimal mangled extremity care.
  • Considering prognostic and socioeconomic factors improves treatment feasibility and patient outcomes.
  • The proposed guidelines can enhance clinical decision-making in mangled extremity management.