Beschreibung
InhaltsangabePrimary Treatment.- Definitive Reconstruction.- Rehabilitation.- Treatment Algorithm for Missile Open Fractures of the Limbs.- Conclusions.
Produktsicherheitsverordnung
Hersteller:
Springer Verlag GmbH
juergen.hartmann@springer.com
Tiergartenstr. 17
DE 69121 Heidelberg
Inhalt
Introduction: Statistics.- Epidemiology. Etiology and pathogenesis.- Missile injuries.- Explosive - Blast - Crush injuries. Classification according to extent of bone and soft tissue loss. Primary treatment and "damage control": Tissue debridement of high-energy injuries.- Primary skeletal stabilization (unilateral external fixation frames, hybrid frames, temporary articular bridging).- Soft-tissue protection by external fixation frames.- Vascular reconstruction. Soft-tissue coverage (delayed primary suture, skin and local tissue flaps, free tissue flaps). Definitive skeletal reconstruction: Ilizarov circular fixation.- Hybrid frames (variations in modular combination between different types of external fixation devices).- Hinged fixation of peri-articular injuries.- Peculiarity of the elbow joint reconstruction: methods of isolated hybrid external fixation of humeral, ulnar and radial bones.- Arthrodesis in extensive joint destruction. Limb salvage in severe bone and soft tissue loss: Bone reconstruction by callotasis and bone transport.- Acute shortening.- Acute shortening and angulation. Post-traumatic infection: Soft tissue.- Bone. Early functional rehabilitation, especially in peri-articular injuries: Active and passive joint mobilization in external frames.- Weight bearing.- Tactics in bilateral lower limb injuries, including one-sided limb loss. Algorithms and conclusions.
