title: Cold Injuries.
abstract: New treatments of frostbite have led to unprecedented salvage of extremities including fingers and toes. Success is predicated on prompt institution of time-sensitive protocols initiated soon after rewarming, particularly the use of thombolytics. Unfortunately, in the urban setting, most patients are not candidates for these treatment modalities. Triple-phase bone scans have allowed for early determination of devitalized parts that need amputation. Reconstructive surgical techniques are typically used to salvage limb length in these devastating injuries.
authors.affiliation: The University of Chicago Medicine, 5841 South Maryland Avenue, MC 6035, Chicago, IL 60637, USA.
authors.forename: Deana S
authors.initials: DS
authors.lastname: Shenaq
authors.affiliation: The University of Chicago Medicine, 5841 South Maryland Avenue, MC 6035, Chicago, IL 60637, USA. Electronic address: lgottlie@surgery.bsd.uchicago.edu.
authors.forename: Lawrence J
authors.initials: LJ
authors.lastname: Gottlieb
mesh_terms: D000671:Amputation, Surgical; D018409:Foot Injuries / Q000209:etiology / Q000601:surgery*; D005627:Frostbite / Q000150:complications / Q000601:surgery*; D006230:Hand Injuries / Q000209:etiology / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage; D014034:Toes / Q000293:injuries*
keywords: Bone scan; Frostbite; Limb salvage; Thrombolytics; Urban