Eur J Plast Surg (2010) 33:321 DOI 10.1007/s00238-010-0484-7 BOOK REVIEW J. Nanchahal, S. Nayagam, U. Kahn, Ch. Moran, S. Barrett, F. Sanderson, I Pallister, Standards for the management of open fractures of the lower limb Marston Book Services, Oxon, 2009, 112 pages, €25.00, ISBN: 978-1-85315-911-4 Leo Clodius Received: 28 July 2010 /Accepted: 28 July 2010 /Published online: 25 August 2010 Springer-Verlag 2010 This paperback volume containing important new guide- exposure, classification of open fractures, techniques lines for obtaining optimal outcomes is endorsed by the for stabilization, when things go wrong with bone, Councils of the British Association of Plastic, Recon- guidelines for primary amputation, and finally, outcome structive and Aesthetic Surgeons and the British Ortho- measures with principal recommendations. pedic Association. These new standards of care are an Each chapter is preceded by detailed principal recom- essential reference for plastic, orthopedic, and emergency mendations which are usually followed by a review and medicine, as well as for rehabilitation specialists. This discussion of the pertinent literature concerning the various book replaces previous guidelines in the UK and will details of the injury. The necessary references are provided. also have worldwide relevance. In addition, helpful, clear schematic drawings illustrate the The reader, with this paperback in hand, will text. naturally look through the contents (20 chapters), For this reviewer, having worked for years in an concentrating on how to deal with this complex matter. emergency department and having cared for these demand- Some of the titles are: primary management in the ing open fractures of the lower limb, it is a pleasure to read emergency department, antibiotic prophylaxis, timing of and reread this text devoted to multiple difficult problems. wound excision in open fractures, soft tissue temporary This book is an excellent example of how specialists of wound dressings, degloving, timing of soft tissue orthopedics and plastic surgery and all specialists of the reconstruction, compartment syndrome, vascular injuries, “hard and soft tissues” unite for setting standards— and when things go wrong with soft tissues. In addition, minimizing complications and achieving optimal out- titles on understanding bony injuries include: bone comes—which is the aim of this book. L. Clodius (*) Zumikon, Switzerland e-mail: firstname.lastname@example.org
European Journal of Plastic Surgery – Springer Journals
Published: Oct 1, 2010
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