Management of the Mangled Extremity

Erin Farrelly; Rae Tarapore; Sierra Lindsey; Mark D Wieland

doi:10.1016/j.suc.2023.10.006

Management of the Mangled Extremity

Surg Clin North Am. 2024 Apr;104(2):385-404. doi: 10.1016/j.suc.2023.10.006. Epub 2023 Nov 17.

Authors

Erin Farrelly¹, Rae Tarapore², Sierra Lindsey², Mark D Wieland²

Affiliations

¹ Department of Orthopaedic Surgery, MedStar Orthopaedic Institute, Union Memorial Hospital, Baltimore, MD, USA. Electronic address: Erin.Farrelly@gmail.com.
² Department of Orthopaedic Surgery, MedStar Orthopaedic Institute, Union Memorial Hospital, Baltimore, MD, USA.

PMID: 38453309
DOI: 10.1016/j.suc.2023.10.006

Abstract

Mangled extremities represent one of the most challenging injuries. They indicate the need for a comprehensive trauma assessment to rule out coexisting injuries. Treatment options include amputation and attempts at limb salvage. Although both have been associated with chronic disability, new surgical techniques and evolving rehabilitation options offer hope for the future.

Keywords: Amputation; Limb salvage; Mangled extremity; Orthopedic trauma.

Publication types

Review

MeSH terms

Amputation, Surgical*
Extremities* / surgery
Forecasting
Humans
Injury Severity Score
Treatment Outcome