J Korean Fract Soc.  2015 Jul;28(3):198-204. 10.12671/jkfs.2015.28.3.198.

Mangled Extremity: Salvage versus Amputation

• Park KC
• Cho HJ

• KMID: 2184420
• DOI: http://doi.org/10.12671/jkfs.2015.28.3.198

Abstract

No abstract available.

MeSH Terms

Amputation*
Extremities*

Figure

• 

  Fig. 1 (A) A 74-year-old woman who suffered diabetes mellitus for 10 years suffered a pedestrian accident. The left leg was pale compared to the contralateral side with a deep laceration wound. (B) X-ray shows a comminution fracture of the distal femur (AO/ASIF 33-C3). (C) Computed tomography angiography shows cut off sign on the left popliteal artery. (D) The patient was transferred to Hanyang University Guri Hospital. The warm ischemic time was over 8 hours after the accident in the operation theater. A arrow indicates the site of the ruptured popliteal artery due to a sharp bony fragment. (E) Above knee amputation was performed due to highly expected morbidity of limb reconstruction.

• 

  Fig. 2 (A) A 47-year-old man suffered a traffic accident. X-ray shows a comminuted fracture of the distal femur, proximal tibia, and distal tibia. There was no combined neurovascular injury. (B) After debridement an external fixator was applied with vacuum assisted closure dressing. (C) After one week, conversion to internal fixation was performed. The distal femur fracture was managed with open reduction and internal fixation with locking plate. The proximal tibia fracture was managed using the minimally invasive plate osteosynthesis technique. (D) Postoperative 3 months X-ray shows callus formation and good alignment. Clinical photography shows acceptable range of motion of the knee joint with good soft tissue healing.

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