Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Nonviable injuries of the tibia

T A Xenakis1, A E Beris, J P Chrysovitsinos

  • 1Department of Orthopaedic Surgery, University of Ioannina, School of Medicine, Greece.

Acta Orthopaedica Scandinavica. Supplementum
|June 1, 1995
PubMed
Summary

Limb salvage for severe open tibia fractures is challenging. In a 10-year study, 5 of 13 patients had successful limb salvage, while 8 required amputation due to complications.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Atypical manifestation of giant cell arteritis: involvement of uterus.

Hippokratia·2020
Same author

Offset acetabular cups: A solution to wear?

Hip international : the journal of clinical and experimental research on hip pathology and therapy·2017
Same author

Median nerve biodegradable wrapping : Clinical outcome of 10 patients.

Acta orthopaedica Belgica·2016
Same author

The role of Taylor Spatial Frame for the treatment of acquired and congenital tibial deformities in children.

Acta orthopaedica Belgica·2015
Same author

Multiple recurrences and late metastasis of adamantinoma in the tibia: a case report.

Journal of orthopaedic surgery (Hong Kong)·2015
Same author

Superiorly displaced flap tear of the medial meniscus.

Hippokratia·2013

Area of Science:

  • Orthopedic Surgery
  • Microsurgery
  • Trauma Management

Background:

  • Severe open tibia fractures with non-viable injuries present complex management challenges.
  • Deciding between limb salvage and amputation requires careful orthopedic assessment.
  • Microsurgical expertise is crucial for repairing vascular and neural damage in these injuries.

Purpose of the Study:

  • To evaluate the outcomes of limb salvaging attempts for severe open tibia fractures.
  • To assess the efficacy of a standardized treatment protocol in limb salvage surgery.
  • To identify factors contributing to success or failure in limb salvage for tibia fractures.

Main Methods:

  • A 10-year retrospective analysis of 13 patients with non-viable, open tibia fractures.

Related Experiment Videos

  • All patients underwent limb salvaging attempts using an identical treatment protocol.
  • Surgical repair focused on vascular and neural reconstruction using microsurgical techniques.

    • Main Results:

    • Five out of 13 (38.5%) limbs were successfully salvaged.
    • Eight out of 13 (61.5%) limbs required subsequent amputation due to revascularization failure or infection.
    • Two patients died postoperatively; one from pulmonary embolism and the other from septicemia.

    Conclusions:

    • Limb salvage for severe open tibia fractures has a high failure rate, necessitating amputation in a majority of cases.
    • Complications such as revascularization failure and severe infection significantly impact salvage success.
    • Despite surgical intervention, mortality associated with these severe injuries remains a concern.