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Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg

Management of composite defects of leg following trauma requires a planned ortho-plastic approach right from the outset. Timely, planned intervention results in reduced amputation rates and improved limb salvage and function. Right from the time of presentation of the patient to the emergency with s...

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Autores principales: Mahajan, Ravi K., Srinivasan, Krishnan, Singh, Mahipal, Jain, Adish, Kapadia, Taha, Tambotra, Ankush
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Private Ltd. 2019
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664845/
https://www.ncbi.nlm.nih.gov/pubmed/31456612
http://dx.doi.org/10.1055/s-0039-1688097
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author Mahajan, Ravi K.
Srinivasan, Krishnan
Singh, Mahipal
Jain, Adish
Kapadia, Taha
Tambotra, Ankush
author_facet Mahajan, Ravi K.
Srinivasan, Krishnan
Singh, Mahipal
Jain, Adish
Kapadia, Taha
Tambotra, Ankush
author_sort Mahajan, Ravi K.
collection PubMed
description Management of composite defects of leg following trauma requires a planned ortho-plastic approach right from the outset. Timely, planned intervention results in reduced amputation rates and improved limb salvage and function. Right from the time of presentation of the patient to the emergency with such injury, the process of decision making in terms of salvage or amputation, local flap cover/free flap cover, bone reconstruction first or soft tissue or both combined, come into play. Guidelines on management are unclear for such defects, a literature search yielding various methods being used by different authors. This article is a review of current literature on management of composite leg defects. A summary of the literature search in terms of various management options given by various authors including the rationale, advantages and disadvantages of each strategy has been provided in this article. The management protocol and method followed by the author in his institute for management of such composite defects have been described in detail. The article seeks to provide readers with an understanding of the management strategies so that appropriate method could be chosen to provide best result.
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spelling pubmed-66648452019-08-27 Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg Mahajan, Ravi K. Srinivasan, Krishnan Singh, Mahipal Jain, Adish Kapadia, Taha Tambotra, Ankush Indian J Plast Surg Management of composite defects of leg following trauma requires a planned ortho-plastic approach right from the outset. Timely, planned intervention results in reduced amputation rates and improved limb salvage and function. Right from the time of presentation of the patient to the emergency with such injury, the process of decision making in terms of salvage or amputation, local flap cover/free flap cover, bone reconstruction first or soft tissue or both combined, come into play. Guidelines on management are unclear for such defects, a literature search yielding various methods being used by different authors. This article is a review of current literature on management of composite leg defects. A summary of the literature search in terms of various management options given by various authors including the rationale, advantages and disadvantages of each strategy has been provided in this article. The management protocol and method followed by the author in his institute for management of such composite defects have been described in detail. The article seeks to provide readers with an understanding of the management strategies so that appropriate method could be chosen to provide best result. Thieme Medical and Scientific Publishers Private Ltd. 2019-01 2019-05-08 /pmc/articles/PMC6664845/ /pubmed/31456612 http://dx.doi.org/10.1055/s-0039-1688097 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Mahajan, Ravi K.
Srinivasan, Krishnan
Singh, Mahipal
Jain, Adish
Kapadia, Taha
Tambotra, Ankush
Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title_full Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title_fullStr Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title_full_unstemmed Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title_short Management of Post-Traumatic Composite Bone and Soft Tissue Defect of Leg
title_sort management of post-traumatic composite bone and soft tissue defect of leg
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6664845/
https://www.ncbi.nlm.nih.gov/pubmed/31456612
http://dx.doi.org/10.1055/s-0039-1688097
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