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Damage control for devastating pelvic and extremity injuries

S M Henry1, P Tornetta, T M Scalea

  • 1Department of Emergency Medicine, SUNY, Health Science Center at Brooklyn, USA.

The Surgical Clinics of North America
|August 1, 1997
PubMed
Summary
This summary is machine-generated.

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This article reviews general care principles and then details managing severe pelvic injuries from blunt and penetrating trauma. It also covers the mangled extremity approach and primary amputation indications.

Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Emergency Medicine

Background:

  • Pelvic injuries are severe consequences of blunt and penetrating trauma.
  • Mangled extremities present complex management challenges.

Purpose of the Study:

  • To outline general principles of trauma care.
  • To discuss the management of devastating pelvic injuries.
  • To describe the approach to mangled extremities and amputation.

Main Methods:

  • Review of current literature and clinical practice guidelines.
  • Discussion of established surgical and non-surgical management strategies.

Main Results:

  • Principles of care for severe trauma are presented.

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  • Specific approaches to pelvic trauma (blunt and penetrating) are detailed.
  • Management options for mangled extremities, including amputation, are discussed.

    • Conclusions:

    • Effective management of severe pelvic injuries requires a systematic approach.
    • Decision-making for mangled extremities must consider limb salvage versus primary amputation.