The mangled foot and leg: salvage versus amputation

Determining whether to perform limb salvage or amputation in the traumatized lower extremity continues to be a difficult problem in the military and civilian sectors. Numerous predictive scores and models have failed to provide definitive criteria for prediction of limb-salvage success. Excellent su...

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Bibliographic Details
Published inFoot and ankle clinics Vol. 15; no. 1; p. 63
Main Authors Shawen, Scott B, Keeling, John J, Branstetter, Joanna, Kirk, Kevin L, Ficke, James R
Format Journal Article
LanguageEnglish
Published United States 01.03.2010
Subjects
Amputation - methods
Blast Injuries - complications
Blast Injuries - surgery
Female
Follow-Up Studies
Foot Injuries - diagnosis
Foot Injuries - etiology
Foot Injuries - surgery
Fracture Fixation - methods
Fracture Healing - physiology
Fractures, Open - surgery
Humans
Injury Severity Score
Leg Injuries - diagnosis
Leg Injuries - etiology
Leg Injuries - surgery
Limb Salvage - methods
Male
Military Medicine - methods
Military Personnel
Reconstructive Surgical Procedures - methods
Recovery of Function
Risk Assessment
Soft Tissue Injuries - diagnosis
Soft Tissue Injuries - etiology
Soft Tissue Injuries - surgery
Surgical Flaps
Treatment Outcome
Warfare
Wound Healing - physiology
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Summary:Determining whether to perform limb salvage or amputation in the traumatized lower extremity continues to be a difficult problem in the military and civilian sectors. Numerous predictive scores and models have failed to provide definitive criteria for prediction of limb-salvage success. Excellent support is available in the military health care system for soldiers electing to undergo either limb salvage or amputation. Recent experience with soldiers who sustained limb-threatening injuries has shown that delayed amputation after limb-salvage attempts is a viable option for soldiers wounded in combat.
ISSN:1558-1934
DOI:10.1016/j.fcl.2009.11.005