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The Mangled Extremity

Evaluation and Management

  • Book
  • © 2021

Overview

Editors:
  1. Raymond A. Pensy

    1. Department of Orthopaedic Surgery, R Adams Cowley Shock Trauma Center, Baltimore, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  2. John V. Ingari

    1. Hand Surgery Division Department of Orthopaedic Surgery, Sinai Hospital of Baltimore, Baltimore, USA

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

  • A practical and generously illustrated text presenting current concepts regarding the evaluation and management of the mangled upper and lower extremity

  • Covers patient triage, skeletal fixation strategies, vascular and soft tissue reconstruction, muscle and tendon transfer, and rehabilitation

  • An ideal resource for orthopedic, trauma and emergency surgeons, residents and fellows

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Table of contents (19 chapters)

  1. Front Matter

    Pages i-xiii
    Download chapter PDF

  2. Rebuilding the Mangled Extremity: Foundation to Rooftop

    • Naji Madi, Raymond A. Pensy
    Pages 1-9

  3. The Triage of the Patient with the Mangled Extremity

    • Jason Pasley, Amelia Pasley, Anna Romagnoli, Joseph Dubose, Thomas Scalea
    Pages 11-17

  4. Temporizing and Definitive Skeletal Fixation for the Mangled Lower Extremity

    • Lucas S. Marchand, Theodore T. Manson, Marcus F. Sciadini
    Pages 19-42

  5. Temporizing and Definitive Skeletal Fixation for the Mangled Upper Extremity

    • Steven A. Horton, W. Andrew Eglseder
    Pages 43-58

  6. Revascularization of the Mangled Limb

    • Naji Madi, Ray Pensy
    Pages 59-72

  7. Replantation of the Mangled Upper Extremity

    • John V. Ingari
    Pages 73-88

  8. Non-microsurgical Soft Tissue Coverage of the Mangled Limb

    • Alexander Hahn, Ebrahim Paryavi
    Pages 89-101

  9. Microsurgical Reconstruction of the Mangled Limb

    • Erwin A. Kruger, Oded Ben-Amotz, Shaun D. Mendenhall, Stephen J. Kovach, L. Scott Levin
    Pages 103-119

  10. Growing Bone: Lengthening and Grafting

    • Jessica C. Rivera, Janet D. Conway, Michael J. Assayag, John E. Herzenberg
    Pages 121-151

  11. Restoring Function: Tendon and Nerve Transfers

    • Keith T. Aziz, Jaimie T. Shores, John V. Ingari
    Pages 153-173

  12. Functional Muscle Transfer for the Mangled Limb

    • John C. Dun, Scott M. Tintle
    Pages 175-181

  13. The Psychological Impact of the Mangled Limb

    • Manas Nigam, Ryan Katz
    Pages 183-197

  14. Therapy Requirements and Goals of the Patient with the Mangled Limb

    • Lauren E. King
    Pages 199-212

  15. Non-opioid Strategies for Pain Management of the Mangled Limb

    • Renan C. Castillo, Anna McGinnis
    Pages 213-223

  16. Salvage v Amputation: Lower Extremity and Upper Extremity

    • Michael J. Bosse, Chris Langhammer
    Pages 225-242

  17. Orthotic Management of the Mangled Extremity

    • Tyler Klenow, Phil Stevens
    Pages 243-255

  18. Prosthetic Care for the Mangled Extremity

    • John Rheinstein, Kevin Carroll, Phil Stevens
    Pages 257-283

  19. The Mangled Extremity: Osseointegration

    • Ashley B. Anderson, Jonathan A. Forsberg
    Pages 285-290

  20. Correction to: The Triage of the Patient with the Mangled Extremity

    • Jason Pasley, Amelia Pasley, Anna Romagnoli, Joseph Dubose, Thomas Scalea
    Pages C1-C1
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Keywords

About this book

This 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.

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Editors and Affiliations

  • Department of Orthopaedic Surgery, R Adams Cowley Shock Trauma Center, Baltimore, USA

    Raymond A. Pensy

  • Hand Surgery Division Department of Orthopaedic Surgery, Sinai Hospital of Baltimore, Baltimore, USA

    John V. Ingari

About the editors

Raymond Pensy, MD

Associate Professor

Program Director, Hand, Upper Extremity and Microvascular Fellowship

Chief, Hand & Upper Extremity Trauma

R Adams Cowley Shock Trauma Center

Division of Orthopaedic Traumatology

Department of Orthopaedic Surgery

 

John Ingari, MD, FAOA

Associate Professor

Chief, Hand Surgery Division

Program Director, Orthopaedic Surgery

Sinai Hospital of Baltimore

Bibliographic Information

  • Book Title: The Mangled Extremity

  • Book Subtitle: Evaluation and Management

  • Editors: Raymond A. Pensy, John V. Ingari

  • DOI: https://doi.org/10.1007/978-3-319-56648-1

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2021

  • Hardcover ISBN: 978-3-319-56647-4Published: 21 January 2021

  • eBook ISBN: 978-3-319-56648-1Published: 20 January 2021

  • Edition Number: 1

  • Number of Pages: XIII, 295

  • Number of Illustrations: 42 b/w illustrations, 149 illustrations in colour

  • Topics: Orthopedics, Traumatic Surgery, Emergency Medicine

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