The vascular supply of muscles in war injuries: a century on

The vascular supply of muscles in war injuries: a century on 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 [1]. 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 http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

The vascular supply of muscles in war injuries: a century on

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2014 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-014-0939-3
Publisher site
See Article on Publisher Site

Abstract

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 [1]. 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

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Jul 1, 2014

References

  • Arterial supply of the soleus muscle: anatomical study of fifty lower limbs
    Raveendran, SS; Kumaragama, KGJL

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