Management of Complex Extremity Injuries. Tourniquets, Compartment Syndrome Detection, Fasciotomy, and Amputation Care

Robert M. Rush, Edward D. Arrington, Joseph R. Hsu

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Historically, complex extremity injuries, otherwise known as mangled extremities, have been difficult management problems. This is especially true in multiply-injured patients where many priorities exist and where amputation is considered a failure of limb salvage. Over the past decade, advances in the total management of complex extremity injuries, from the placement of life-saving and limb-saving tourniquets in the prehospital setting to the advancement of prosthetics and rehabilitation months to years later, have resulted in superb functional results regardless of whether limb salvage or amputation is undertaken.

Original languageEnglish (US)
Pages (from-to)987-1007
Number of pages21
JournalSurgical Clinics of North America
Volume92
Issue number4
DOIs
StatePublished - Aug 2012
Externally publishedYes

Keywords

  • Amputation
  • Compartment syndrome
  • Extremity injury
  • Fasciotomy
  • Mangled extremity
  • Prosthesis

ASJC Scopus subject areas

  • Surgery

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