Severe injuries to the limbs: Staged treatment

Modern weapons and high-energy accidents inflict devastating damage to soft tissue and bone. The gold standard for stabilizing high-energy fractures is immediate external fixation followed by thorough debridement of soft tissues and dead bone and irrigation, since these injuries are always grossly contaminated. The next stage of treatment, the coverage of exposed bone by vital soft tissue and definitive skeletal stabilization and reconstruction, can be a complex surgical challenge. This book outlines and comprehensively describes the protocol of staged external fixation developed by the authors: primary temporary unilateral tubular stabilization followed by definitive circular Ilizarov (hybrid) fixation. It provides guidelines for the young surgeon as well as the senior orthopedic trauma surgeon in staged definitive limb functional reconstruction. Coverage explains and fully illustrates the rationale and advantages of a logical progression of surgical steps. The book draws from an archive of clinical photographs and X-ray documentation that cover all steps of the treatment protocol in a large variety of complex cases, including extensive bone and soft tissue loss.