title: High-energy foot and ankle trauma: principles for formulating an individualized care plan.
abstract: Care of the patient with high-energy foot and ankle trauma requires an individualized care plan. Staged treatment respecting the traumatized soft tissue envelope is often advisable. Wound care is a priority, and the vacuum-assisted closure dressing serves an integral role. Before definitive reconstruction, the surgeon needs to develop a treatment plan designed to match the unique personality of the patient and injury. Amputation is considered a rational treatment option for the patient with severe injury and poor host biology. Despite the most appropriate management, many severe foot and ankle injuries have a guarded prognosis.
authors.affiliation: University of Pittsburgh Medical Center, Department of Orthopaedic Surgery, Division of Orthopaedic Traumatology, 3471 Fifth Avenue, Pittsburgh, PA 15213 412-605-3252, USA. tarkinis@upmc.edu
authors.forename: Ivan S
authors.initials: IS
authors.lastname: Tarkin
authors.forename: Aaron
authors.initials: A
authors.lastname: Sop
authors.forename: Hans-Christoph
authors.initials: HC
authors.lastname: Pape
mesh_terms: D000671:Amputation, Surgical; D016512:Ankle Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D018409:Foot Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D010347:Patient Care Planning; D017695:Soft Tissue Injuries / Q000175:diagnosis / Q000209:etiology / Q000628:therapy