Acute shortening and angulation for complex open fractures: an updated perspective
Summary:. Reestablishing an intact, healthy soft tissue envelope is a critical step in managing lower extremity injuries, particularly high-grade open tibia fractures. Acute shortening and angulation can be used independently or together to address complex soft tissue injuries, particularly when bon...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-07-01
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| Series: | OTA International |
| Online Access: | http://journals.lww.com/10.1097/OI9.0000000000000245 |
| _version_ | 1827891336293908480 |
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| author | Sarah N. Pierrie, MD Michael J. Beltran, MD |
| author_facet | Sarah N. Pierrie, MD Michael J. Beltran, MD |
| author_sort | Sarah N. Pierrie, MD |
| collection | DOAJ |
| description | Summary:. Reestablishing an intact, healthy soft tissue envelope is a critical step in managing lower extremity injuries, particularly high-grade open tibia fractures. Acute shortening and angulation can be used independently or together to address complex soft tissue injuries, particularly when bone loss is present. These techniques facilitate management of difficult wounds and can be combined with local soft tissue rearrangement or pedicled flaps as needed, avoiding the need for free tissue transfer. After angular deformity correction, adjacent bone loss can be addressed with bone grafting or distraction histogenesis. This article discusses the indications for, surgical technique for, and limitations of acute shortening and angulation for management of open lower extremity fractures. |
| first_indexed | 2024-03-12T21:24:17Z |
| format | Article |
| id | doaj.art-0121673bae7b45d597114e2f35d485fa |
| institution | Directory Open Access Journal |
| issn | 2574-2167 |
| language | English |
| last_indexed | 2024-03-12T21:24:17Z |
| publishDate | 2023-07-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | OTA International |
| spelling | doaj.art-0121673bae7b45d597114e2f35d485fa2023-07-28T09:30:40ZengWolters KluwerOTA International2574-21672023-07-0164S10.1097/OI9.0000000000000245OI90000000000000245Acute shortening and angulation for complex open fractures: an updated perspectiveSarah N. Pierrie, MD0Michael J. Beltran, MD1Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH.Department of Orthopaedic Surgery, University of Cincinnati College of Medicine, Cincinnati, OH.Summary:. Reestablishing an intact, healthy soft tissue envelope is a critical step in managing lower extremity injuries, particularly high-grade open tibia fractures. Acute shortening and angulation can be used independently or together to address complex soft tissue injuries, particularly when bone loss is present. These techniques facilitate management of difficult wounds and can be combined with local soft tissue rearrangement or pedicled flaps as needed, avoiding the need for free tissue transfer. After angular deformity correction, adjacent bone loss can be addressed with bone grafting or distraction histogenesis. This article discusses the indications for, surgical technique for, and limitations of acute shortening and angulation for management of open lower extremity fractures.http://journals.lww.com/10.1097/OI9.0000000000000245 |
| spellingShingle | Sarah N. Pierrie, MD Michael J. Beltran, MD Acute shortening and angulation for complex open fractures: an updated perspective OTA International |
| title | Acute shortening and angulation for complex open fractures: an updated perspective |
| title_full | Acute shortening and angulation for complex open fractures: an updated perspective |
| title_fullStr | Acute shortening and angulation for complex open fractures: an updated perspective |
| title_full_unstemmed | Acute shortening and angulation for complex open fractures: an updated perspective |
| title_short | Acute shortening and angulation for complex open fractures: an updated perspective |
| title_sort | acute shortening and angulation for complex open fractures an updated perspective |
| url | http://journals.lww.com/10.1097/OI9.0000000000000245 |
| work_keys_str_mv | AT sarahnpierriemd acuteshorteningandangulationforcomplexopenfracturesanupdatedperspective AT michaeljbeltranmd acuteshorteningandangulationforcomplexopenfracturesanupdatedperspective |