Eur J Plast Surg (2014) 37:409–410 DOI 10.1007/s00238-014-0939-3 LETTER TO THE EDITOR Johann A. Jeevaratnam & Rebecca Exton & Tania C. S. Cubison Received: 26 January 2014 /Accepted: 17 February 2014 /Published online: 8 March 2014 Springer-Verlag Berlin Heidelberg 2014 Sir, retained contamination far more proximally than might be Campbell and Pennefather, British Army surgeons dur- expected. The focus of initial debridement has been to remove ing the First World War, originally identified varying gross contamination and clearly nonviable tissue. Debride- patterns of vascular supply to muscles based on angi- ment can be very aggressive in the mangled lower limb, while ography. They suggested that following an injury, an a more conservative approach may be taken in areas such as the hands, where important structures are preserved to main- understanding of the normal pattern of blood supply to a muscle would aid both prediction of potential of its tain future function. survival following debridement and liability to the de- Conservation of limb length is a high priority in amputees, velopment of gas gangrene . such as achieving a trans-tibial over a trans-femoral final level, Seven decades later, Mathes and Nahai, moving for- due to the significant functional benefit. An
European Journal of Plastic Surgery – Springer Journals
Published: Jul 1, 2014
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