Salvage of the severely injured limb in children: a multidisciplinary approach.
Massive trauma to a limb, even in young children, may lead to loss of viability and function. A combination of open fracture with vascular, crush, and avulsion injury resulting in acute peripheral ischemia may place the extremity at risk of necrosis and imminent amputation. We suggest a combined, multidisciplinary approach that includes initial vascular repair and fractures fixation, with early institution of hyperbaric oxygen therapy.
Zonis
Z
Z
Israeli Naval Hyperbaric Institute, Haifa.
Weisz
G
G
Ramon
Y
Y
Bar Joseph
G
G
Torem
S
S
Melamed
Y
Y
Bialik
V
V
D001808:Blood Vessels / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000628:therapy*; D006801:Humans; D006931:Hyperbaric Oxygenation; D007511:Ischemia / Q000628:therapy; D007866:Leg / Q000098:blood supply; D007869:Leg Injuries / Q000628:therapy*; D008297:Male; D009132:Muscles / Q000293:injuries