LEADER 03620oam 2200505 450 001 9910483057103321 005 20210618133116.0 010 $a3-319-56648-2 024 7 $a10.1007/978-3-319-56648-1 035 $a(CKB)4100000011728546 035 $a(DE-He213)978-3-319-56648-1 035 $a(MiAaPQ)EBC6460913 035 $a(PPN)253254973 035 $a(EXLCZ)994100000011728546 100 $a20210618d2021 uy 0 101 0 $aeng 135 $aurnn|008mamaa 181 $ctxt$2rdacontent 182 $cc$2rdamedia 183 $acr$2rdacarrier 200 04$aThe mangled extremity $eevaluation and management /$fEdited by Raymond A. Pensy and John V. Ingari 205 $a1st ed. 2021. 210 1$aCham, Switzerland :$cSpringer,$d[2021] 210 4$d©2021 215 $a1 online resource (XIII, 295 p. 191 illus., 149 illus. in color.) 300 $aIncludes index. 311 $a3-319-56647-4 327 $aRebuilding the Mangled Extremity: Foundation to Rooftop -- The Triage of the Patient with the Mangled Extremity -- Temporizing and Definitive Skeletal Fixation for the Mangled Lower Extremity -- Temporizing and Definitive Skeletal Fixation for the Mangled Upper Extremity -- Revascularization of the Mangled Limb -- Replantation of the Mangled Upper Extremity -- Non-Microsurgical Soft Tissue Coverage of the Mangled Limb -- Microsurgical Reconstruction for the Mangled Limb -- Growing Bone: Lengthening and Grafting -- Restoring Function: Tendon and Nerve Transfers -- Functional Muscle Transfer for the Mangled Limb -- The Psychological Impact of the Mangled Limb -- Therapy Requirements and Goals of the Patient with the Mangled Limb -- Non-Opioid Strategies for Pain Management -- Salvage vs. Amputation: Lower Extremity and Upper Extremity -- Orthotic Management of the Mangled Extremity -- Prosthetic Care for the Mangled Extremity -- The Mangled Extremity: Osseointegration. 330 $aThis 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. 606 $aExtremities (Anatomy)$xWounds and injuries 606 $aOrthopedics 606 $aExtremities (Anatomy)$xSurgery 615 0$aExtremities (Anatomy)$xWounds and injuries. 615 0$aOrthopedics. 615 0$aExtremities (Anatomy)$xSurgery. 676 $a617.58 702 $aIngari$b John V. 702 $aRaymond A. Pensy 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bUtOrBLW 906 $aBOOK 912 $a9910483057103321 996 $aThe mangled extremity$92572019 997 $aUNINA