Severe injuries to the limbs: staged treatment
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Book |
| Language: | English |
| Published: |
Berlin [u.a.]
Springer
2007
|
| Subjects: | |
| Online Access: | Inhaltsverzeichnis Klappentext |
| Physical Description: | XI, 223 S. zahlr. Ill. |
| ISBN: | 9783540698920 3540698922 |
Staff View
MARC
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| 264 | 1 | |a Berlin [u.a.] |b Springer |c 2007 | |
| 300 | |a XI, 223 S. |b zahlr. Ill. | ||
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| 650 | 4 | |a Extremities (Anatomy) |x Surgery | |
| 650 | 4 | |a Extremities (Anatomy) |x Wounds and injuries | |
| 650 | 4 | |a Extremities |x injuries |v Atlases | |
| 650 | 4 | |a Extremities |x surgery |v Atlases | |
| 650 | 4 | |a Fracture Fixation |x methods |v Atlases | |
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Record in the Search Index
| _version_ | 1804137187435872256 |
|---|---|
| adam_text | 1
Introduction
............................ 1
2
Primary Treatment
..................... 5
2.1
Primary Treatment and Damage
Control
................................ 5
2.2
Tissue Debridement
..................... 5
2.3
Vascular Injuries
........................ 9
2.4
Peripheral Nerve Injury
................. 11
2.5
Primary Skeletal Stabilization
........... 13
2.6 .
Soft-Tissue Protection by External
Fixation Frames
........................ 22
2.7
The Management of Retained Bullets
in the Limbs
........................... 22
3
Definitive Reconstruction
.............. 27
3.1
Final Soft-Tissue Coverage
.............. 27
3.2
Definitive Skeletal Reconstruction
....... 30
3.2.1
Ilizarov Circular Fixation
............... 32
3.2.2
Hybrid Frames (Modular Combinations
in Various Types of External Fixation
Devices)
............................... 64
3.2.3
Hinged Fixation of Peri-Articular Injuries
70
3.2.4
Peculiarity of Elbow Joint Reconstruction:
Methods of Isolated Hybrid External
Fixation of Humeral, Ulnar,
and Radial Bones
....................... 78
3.2.5
Bilateral Lower Limb Injuries
............ 85
3.2.6
Lower Limb Salvage Where
Contralateral
Amputation is Present
.................. 85
3.2.7
Primary Arthrodesis After High-Energy
Injuries
................................ 85
3.2.8
Primary
Circular/Hybriä
Fixation Frame
Assembly in Emergency Conditions
... 121
3.3
Limb Salvage in Severe Bone and Soft-
Tissue Loss
.......................... 121
3.3.1
Bone Reconstruction by Callotasis
..... 121
3.3.2
Bone Reconstruction Using Bifocal
Technique
........................... 144
3.3.3
Fibular Bone Translation, Foot
Stabilization
......................... 151
3.4
Acute Temporary Mai-Alignment
in Limb Salvage
...................... 164
3.4.1
Acute Shortening
..................... 164
3.4.2
Acute Shortening and Angulation
..... 165
3.4.3
Acute Shortening, Angulation,
and
Malrotation ...................... 165
4
Rehabilitation
....................... 191
4.1
Active and Passive Joint Mobilization
in External Frames for Treatment
of Peri-Articular Injuries
.............. 191
4.2
Weight-Bearing During Stabilization
in External Fixation Frame
............ 195
5
Treatment Algorithm for Missile Open
Fractures of the Limbs
............... 203
6
Conclusions
......................... 205
References
................................. 217
Subject Index
.............................. 221
Modern
weapons and high-energy accidents
inflict devastating damage to soft tissue
and bone. The gold standard for stabilizing
high-energy fractures is immediate external
fixation followed by thorough debridement
of soft tissues and dead bone and irrigation,
since these injuries are always grossly
contaminated. The next stage of treatment
-
the coverage of exposed bone by vital soft
tissue and definitive skeletal stabilization
and reconstruction
-
can be a complex
surgical challenge. The protocol of staged
external fixation developed by the authors:
primary temporary unilateral tubular
stabilization followed by definitive circular
Ilizarov (hybrid) fixation, is outlined and
comprehensively described in this book.
The text
ρΐΌΛ
-ides
guidelines for the young
surgeon as well as the senior orthopedic
trauma surgeon in staged definitive limb
functional reconstruction. The rationale
and advantages of a logical progression of
surgical steps are explained and fully
illustrated throughout, drawing from an
archive of clinical photographs and X-ray
documentation covering all steps of the
treatment protocol in a large variety of
complex cases, including extensive bone
and soft tissue loss.
This practical guide is based on the
accumulated experience of
40
years in
the treatment of severe injuries of the
musculoskeletal system with grave tissue
loss, and in particular war injuries.
Emphasis is given to the proper attention
and care of the soft tissues, sequential
damage control, and the judicious staged
use of appropriate external fixation.
|
| adam_txt |
1
Introduction
. 1
2
Primary Treatment
. 5
2.1
Primary Treatment and "Damage
Control"
. 5
2.2
Tissue Debridement
. 5
2.3
Vascular Injuries
. 9
2.4
Peripheral Nerve Injury
. 11
2.5
Primary Skeletal Stabilization
. 13
2.6 .
Soft-Tissue Protection by External
Fixation Frames
. 22
2.7
The Management of Retained Bullets
in the Limbs
. 22
3
Definitive Reconstruction
. 27
3.1
Final Soft-Tissue Coverage
. 27
3.2
Definitive Skeletal Reconstruction
. 30
3.2.1
Ilizarov Circular Fixation
. 32
3.2.2
Hybrid Frames (Modular Combinations
in Various Types of External Fixation
Devices)
. 64
3.2.3
Hinged Fixation of Peri-Articular Injuries
70
3.2.4
Peculiarity of Elbow Joint Reconstruction:
Methods of Isolated Hybrid External
Fixation of Humeral, Ulnar,
and Radial Bones
. 78
3.2.5
Bilateral Lower Limb Injuries
. 85
3.2.6
Lower Limb Salvage Where
Contralateral
Amputation is Present
. 85
3.2.7
Primary Arthrodesis After High-Energy
Injuries
. 85
3.2.8
Primary
Circular/Hybriä
Fixation Frame
Assembly in Emergency Conditions
. 121
3.3
Limb Salvage in Severe Bone and Soft-
Tissue Loss
. 121
3.3.1
Bone Reconstruction by Callotasis
. 121
3.3.2
Bone Reconstruction Using Bifocal
Technique
. 144
3.3.3
Fibular Bone Translation, Foot
Stabilization
. 151
3.4
Acute Temporary Mai-Alignment
in Limb Salvage
. 164
3.4.1
Acute Shortening
. 164
3.4.2
Acute Shortening and Angulation
. 165
3.4.3
Acute Shortening, Angulation,
and
Malrotation . 165
4
Rehabilitation
. 191
4.1
Active and Passive Joint Mobilization
in External Frames for Treatment
of Peri-Articular Injuries
. 191
4.2
Weight-Bearing During Stabilization
in External Fixation Frame
. 195
5
Treatment Algorithm for Missile Open
Fractures of the Limbs
. 203
6
Conclusions
. 205
References
. 217
Subject Index
. 221
Modern
weapons and high-energy accidents
inflict devastating damage to soft tissue
and bone. The gold standard for stabilizing
high-energy fractures is immediate external
fixation followed by thorough debridement
of soft tissues and dead bone and irrigation,
since these injuries are always grossly
contaminated. The next stage of treatment
-
the coverage of exposed bone by vital soft
tissue and definitive skeletal stabilization
and reconstruction
-
can be a complex
surgical challenge. The protocol of staged
external fixation developed by the authors:
primary temporary unilateral tubular
stabilization followed by definitive circular
Ilizarov (hybrid) fixation, is outlined and
comprehensively described in this book.
The text
ρΐΌΛ
-ides
guidelines for the young
surgeon as well as the senior orthopedic
trauma surgeon in staged definitive limb
functional reconstruction. The rationale
and advantages of a logical progression of
surgical steps are explained and fully
illustrated throughout, drawing from an
archive of clinical photographs and X-ray
documentation covering all steps of the
treatment protocol in a large variety of
complex cases, including extensive bone
and soft tissue loss.
This practical guide is based on the
accumulated experience of
40
years in
the treatment of severe injuries of the
musculoskeletal system with grave tissue
loss, and in particular war injuries.
Emphasis is given to the proper attention
and care of the soft tissues, sequential
damage control, and the judicious staged
use of appropriate external fixation. |
| any_adam_object | 1 |
| any_adam_object_boolean | 1 |
| author | Lerner, Alexander Reis, Daniel Soudry, Michael |
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| dewey-tens | 610 - Medicine and health |
| discipline | Medizin |
| discipline_str_mv | Medizin |
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| id | DE-604.BV022946732 |
| illustrated | Illustrated |
| index_date | 2024-07-02T19:00:03Z |
| indexdate | 2024-07-09T21:08:18Z |
| institution | BVB |
| isbn | 9783540698920 3540698922 |
| language | English |
| oai_aleph_id | oai:aleph.bib-bvb.de:BVB01-016151286 |
| oclc_num | 123375608 |
| open_access_boolean | |
| owner | DE-355 DE-BY-UBR |
| owner_facet | DE-355 DE-BY-UBR |
| physical | XI, 223 S. zahlr. Ill. |
| publishDate | 2007 |
| publishDateSearch | 2007 |
| publishDateSort | 2007 |
| publisher | Springer |
| record_format | marc |
| spelling | Lerner, Alexander Verfasser (DE-588)133893804 aut Severe injuries to the limbs staged treatment A. Lerner ; D. Reis ; M. Soudry Berlin [u.a.] Springer 2007 XI, 223 S. zahlr. Ill. txt rdacontent n rdamedia nc rdacarrier Chirurgie orthopédique ram Membres - chirurgie External Fixators Atlases Extremities (Anatomy) Surgery Extremities (Anatomy) Wounds and injuries Extremities injuries Atlases Extremities surgery Atlases Fracture Fixation methods Atlases Wounds, Penetrating surgery Atlases Bewegungsapparat (DE-588)4006318-5 gnd rswk-swf Fixateur externe (DE-588)4140422-1 gnd rswk-swf Extremitätenchirurgie (DE-588)4153426-8 gnd rswk-swf Knochenbruch (DE-588)4031318-9 gnd rswk-swf Weichteilverletzung (DE-588)4065043-1 gnd rswk-swf Bewegungsapparat (DE-588)4006318-5 s Knochenbruch (DE-588)4031318-9 s Fixateur externe (DE-588)4140422-1 s DE-604 Weichteilverletzung (DE-588)4065043-1 s Extremitätenchirurgie (DE-588)4153426-8 s Reis, Daniel Verfasser aut Soudry, Michael Verfasser (DE-588)133892980 aut Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016151286&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis Digitalisierung UB Regensburg application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016151286&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA Klappentext |
| spellingShingle | Lerner, Alexander Reis, Daniel Soudry, Michael Severe injuries to the limbs staged treatment Chirurgie orthopédique ram Membres - chirurgie External Fixators Atlases Extremities (Anatomy) Surgery Extremities (Anatomy) Wounds and injuries Extremities injuries Atlases Extremities surgery Atlases Fracture Fixation methods Atlases Wounds, Penetrating surgery Atlases Bewegungsapparat (DE-588)4006318-5 gnd Fixateur externe (DE-588)4140422-1 gnd Extremitätenchirurgie (DE-588)4153426-8 gnd Knochenbruch (DE-588)4031318-9 gnd Weichteilverletzung (DE-588)4065043-1 gnd |
| subject_GND | (DE-588)4006318-5 (DE-588)4140422-1 (DE-588)4153426-8 (DE-588)4031318-9 (DE-588)4065043-1 |
| title | Severe injuries to the limbs staged treatment |
| title_auth | Severe injuries to the limbs staged treatment |
| title_exact_search | Severe injuries to the limbs staged treatment |
| title_exact_search_txtP | Severe injuries to the limbs staged treatment |
| title_full | Severe injuries to the limbs staged treatment A. Lerner ; D. Reis ; M. Soudry |
| title_fullStr | Severe injuries to the limbs staged treatment A. Lerner ; D. Reis ; M. Soudry |
| title_full_unstemmed | Severe injuries to the limbs staged treatment A. Lerner ; D. Reis ; M. Soudry |
| title_short | Severe injuries to the limbs |
| title_sort | severe injuries to the limbs staged treatment |
| title_sub | staged treatment |
| topic | Chirurgie orthopédique ram Membres - chirurgie External Fixators Atlases Extremities (Anatomy) Surgery Extremities (Anatomy) Wounds and injuries Extremities injuries Atlases Extremities surgery Atlases Fracture Fixation methods Atlases Wounds, Penetrating surgery Atlases Bewegungsapparat (DE-588)4006318-5 gnd Fixateur externe (DE-588)4140422-1 gnd Extremitätenchirurgie (DE-588)4153426-8 gnd Knochenbruch (DE-588)4031318-9 gnd Weichteilverletzung (DE-588)4065043-1 gnd |
| topic_facet | Chirurgie orthopédique Membres - chirurgie External Fixators Atlases Extremities (Anatomy) Surgery Extremities (Anatomy) Wounds and injuries Extremities injuries Atlases Extremities surgery Atlases Fracture Fixation methods Atlases Wounds, Penetrating surgery Atlases Bewegungsapparat Fixateur externe Extremitätenchirurgie Knochenbruch Weichteilverletzung |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016151286&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016151286&sequence=000002&line_number=0002&func_code=DB_RECORDS&service_type=MEDIA |
| work_keys_str_mv | AT lerneralexander severeinjuriestothelimbsstagedtreatment AT reisdaniel severeinjuriestothelimbsstagedtreatment AT soudrymichael severeinjuriestothelimbsstagedtreatment |