Nonviable injuries of the tibia (Journal article)

Xenakis, T. A./ Beris, A. E./ Chrysovitsinos, J. P./ Mavrodontidis, A. N./ Vekris, M. D./ Zacharis, K./ Soucacos, P. N.


Management of severe open fractures and non-viable injuries of the tibia remain both difficult and controversial. The orthopedist must carefully assess the injured limb in order to determine whether it should be salvaged or amputated. The difficult operative procedure requires thorough knowledge of microsurgical techniques necessary to repair vascular and neural injury. Over a 10 year period, 13 patients with non-viable, open fractures of the tibia underwent limb salvaging attempts using identical treatment protocol. 5 of the 13 limbs were salvaged, while 8 limbs were later amputated, because of either failure of revascularization or severe infection. 2 patients died; one with good circulation in the limb because of a massive pulmonary embolism 5 days postoperatively and the other because of severe septicemia 13 days postoperatively.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Adolescent,Adult,Amputation, Traumatic/surgery,Child,Child, Preschool,Female,Fractures, Open/*surgery,Humans,Male,Microsurgery/*methods,Middle Aged,Replantation/methods,Tibia/*blood supply,Tibial Arteries/surgery,Tibial Fractures/*surgery,Tibial Nerve/surgery,Vascular Surgical Procedures/methods,Veins/surgery
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/19712
ISSN: 0300-8827
Link: http://www.ncbi.nlm.nih.gov/pubmed/7604724
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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