Application of the Orthoplastic Reconstructive Ladder to Preserve Lower Extremity Amputation Length

Fleming, Mark E.; O’Daniel, Anthony; Bharmal, Husain; Valerio, Ian L.

doi:10.1097/sap.0b013e3182a638d8

Cited by 35 publications

(26 citation statements)

References 38 publications

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“…T he literature in support of maintaining the residual limb length for the best prosthetic fit is extensive [2][3][4][5][6][7][8][9][10][11][12][13] . Maintaining length in a situation of a grossly contaminated injury is not without its risks.…”

Section: Discussionmentioning

confidence: 99%

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation

Bauer¹,

Callan²,

Jahangir³

2015

JBJS Case Connector

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Section: Discussionmentioning

confidence: 99%

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation

Bauer¹,

Callan²,

Jahangir³

2015

JBJS Case Connector

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“…In selected cases, escalation up the reconstructive ladder is warranted [27]. Pedicled rotation flaps are useful for acute coverage of exposed neurovascular structures, as well as after vascular repair.…”

Section: Soft Tissue Coverage: Blast-related Amputationsmentioning

confidence: 99%

Challenges in definitive fracture management of blast injuries

Gordon

Kuhn

Staeheli

et al. 2015

Curr Rev Musculoskelet Med

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The United States military remains engaged in the longest armed conflict in this nation's history. The majority of casualties in the global war on terror come from blast-related injuries. Multiple centers have published their experience and outcomes with these complex patients. Findings from the study of injured military personnel have implications for mass casualty events resulting from industrial accidents or terrorism in the civilian sector. This article will review the pathophysiology of blast-related injury. The authors will summarize treatment considerations, priorities, and techniques that have proven successful. Finally, the authors will discuss the incidence and management of common complications after blast-related injuries.

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“…This assists in successful ambulation in the case of lower limb amputations, and comfortable prosthetic fitting and wearing. 40 Clinical evidence. Figure 10 provides a case of a complex closure using Der-maClose.…”

Section: Trauma and Amputationsmentioning

confidence: 99%

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

Dardano

Klapper

Parekh

et al. 2020

Advances in Wound Care

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Significance: Continuous external tissue expansion (CETE) is a versatile tool in soft tissue injury management, and could be an addition to the traditional reconstructive ladder. Recent Advances: This critical review discusses the principles and application of CETE, covering a company-sponsored consensus meeting on this emerging technology and highlighting the DermaClose Ò (Synovis Micro Companies Alliance, Inc., Birmingham, AL) device's unique approach to soft tissue injury management. There is clinical evidence to support the use of CETE in the management of a number of wound types, including fasciotomy, trauma, amputation, and flap donor sites. The device can be applied to open wounds, potentially avoiding the need for a skin graft or other more complex or invasive reconstruction options. DermaClose applies constant tension without restricting blood flow and does not require repeated tightening. Critical Issues: CETE is becoming more widely used by surgeons of different specialties, and numerous reports describing its efficacy and safety in wound management have been published. Surgeons using CETE must follow the correct technique and select patients carefully to achieve optimal outcomes. However, there is no single source of information or consensus recommendations regarding CETE application. Future Directions: Prospective evidence on the efficacy and safety of CETE in clinical practice is required to communicate the best techniques and share important experiences. This will help to solidify its place in the reconstructive ladder as a valuable additional option for surgeons.

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Application of the Orthoplastic Reconstructive Ladder to Preserve Lower Extremity Amputation Length

Cited by 35 publications

References 38 publications

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation

Length-Preserving Intramedullary Femoral Fixation for Traumatic Leg Amputation

Challenges in definitive fracture management of blast injuries

Multidisciplinary Application of an External Tissue Expander Device to Improve Patient Outcomes: A Critical Review

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