Eur J Plast Surg (2017) 40:235–244 DOI 10.1007/s00238-016-1268-5 ORIGINAL PAPER Common characteristics of functional and adverse outcomes in acute lower-extremity trauma reconstruction 1 2 3 4 4 Iris A. Seitz & Justine C. Lee & Suela Sulo & Varun Shah & Manoj Shah & 5 6 Matthew L. Jimenez & Loren S. Schechter Received: 8 September 2016 /Accepted: 20 December 2016 /Published online: 14 January 2017 Springer-Verlag Berlin Heidelberg 2017 Abstract inclusion criteria. Severity of injury was a common determinant Background Injury to the lower extremity is one of the most of outcome. On long-term follow-up, the majority of patients common traumatic injuries encountered in both combat and ci- were ambulatory (n = 50), albeit frequently with some deficit in vilian situations. Improvements in sterile technique, the use of range of motion or gait disturbance. When modifiable charac- antibiotics, bony fixation, and microvascular reconstruction have teristics were evaluated, an increased length of time to soft- shifted the management paradigm from predominantly amputa- tissue coverage was associated with both an increased incidence tion to limb salvage. We reviewed acute lower-extremity recon- of venous thromboembolism and range-of-motion deficit. struction in a single suburban trauma center and identified com- Conclusions Delayed definitive
European Journal of Plastic Surgery – Springer Journals
Published: Jan 14, 2017
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