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The Mangled Extremity in Children
Book chapter

The Mangled Extremity in Children

Sapan D. Gandhi, Joshua M. Abzug and Martin J. Herman
Pediatric Orthopedic Surgical Emergencies, pp 17-27
02 Apr 2012

Abstract

Acquired limb deficiency Farm machinery injury Lawnmower injury Limb salvage Mangled extremity Mangled limb Traumatic amputation
A mangled extremity is an extremity that has sustained severe traumatic injury to at least three of the systems of a limb (soft tissue, bone, nerves, and ­vasculature). Management of mangled extremities in children poses a difficult challenge to the treating surgeon, as decisions must be made quickly to ensure the best ­possible outcome for the patient. The most difficult decision is whether limb ­salvage should be attempted or amputation should be performed. This chapter reviews the presentation, evaluation, treatment, and outcomes of mangled extremities in children.

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