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Foot and ankle clinics · Dec 2008
ReviewHigh-energy foot and ankle trauma: principles for formulating an individualized care plan.
- Ivan S Tarkin, Aaron Sop, and Hans-Christoph Pape.
- University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, Division of Orthopaedic Traumatology, 3471 Fifth Avenue, Pittsburgh, PA 15213 412-605-3252, USA. tarkinis@upmc.edu
- Foot Ankle Clin. 2008 Dec 1;13(4):705-23.
AbstractCare of the patient with high-energy foot and ankle trauma requires an individualized care plan. Staged treatment respecting the traumatized soft tissue envelope is often advisable. Wound care is a priority, and the vacuum-assisted closure dressing serves an integral role. Before definitive reconstruction, the surgeon needs to develop a treatment plan designed to match the unique personality of the patient and injury. Amputation is considered a rational treatment option for the patient with severe injury and poor host biology. Despite the most appropriate management, many severe foot and ankle injuries have a guarded prognosis.
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