New insights in lower limb reconstruction strategies

High Energy Musculoskeletal Traumas (HEMTs) represent a relevant problem for healthcare systems, considering the high social costs, and both the high morbidity and mortality. The poor outcomes associated with HEMT are related to the high incidence of complications, including bone infection, fracture...

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Main Authors: Giuseppe Toro, Antonio Benedetto Cecere, Adriano Braile, Annalisa De Cicco, Sara Liguori, Umberto Tarantino, Giovanni Iolascon
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Therapeutic Advances in Musculoskeletal Disease
Online Access:https://doi.org/10.1177/1759720X231189008
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author Giuseppe Toro
Antonio Benedetto Cecere
Adriano Braile
Annalisa De Cicco
Sara Liguori
Umberto Tarantino
Giovanni Iolascon
author_facet Giuseppe Toro
Antonio Benedetto Cecere
Adriano Braile
Annalisa De Cicco
Sara Liguori
Umberto Tarantino
Giovanni Iolascon
author_sort Giuseppe Toro
collection DOAJ
description High Energy Musculoskeletal Traumas (HEMTs) represent a relevant problem for healthcare systems, considering the high social costs, and both the high morbidity and mortality. The poor outcomes associated with HEMT are related to the high incidence of complications, including bone infection, fracture malunion and non-union. The treatment of each of these complications could be extremely difficult. Limb reconstruction often needs multiple procedures, rising some questions on the opportunity in perseverate to try to save the affected limb. In fact, theoretically, amputation may guarantee better function and lower complications. However, amputation is not free of complication, and a high long-term social cost has been reported. A comprehensive literature review was performed to suggest possible ways to optimize the limb preservation surgeries of HEMT’s complications in order to ameliorate their management.
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spelling doaj.art-824ff5c0acee430191d5bfb020dc1a1d2023-07-29T09:03:28ZengSAGE PublishingTherapeutic Advances in Musculoskeletal Disease1759-72182023-07-011510.1177/1759720X231189008New insights in lower limb reconstruction strategiesGiuseppe ToroAntonio Benedetto CecereAdriano BraileAnnalisa De CiccoSara LiguoriUmberto TarantinoGiovanni IolasconHigh Energy Musculoskeletal Traumas (HEMTs) represent a relevant problem for healthcare systems, considering the high social costs, and both the high morbidity and mortality. The poor outcomes associated with HEMT are related to the high incidence of complications, including bone infection, fracture malunion and non-union. The treatment of each of these complications could be extremely difficult. Limb reconstruction often needs multiple procedures, rising some questions on the opportunity in perseverate to try to save the affected limb. In fact, theoretically, amputation may guarantee better function and lower complications. However, amputation is not free of complication, and a high long-term social cost has been reported. A comprehensive literature review was performed to suggest possible ways to optimize the limb preservation surgeries of HEMT’s complications in order to ameliorate their management.https://doi.org/10.1177/1759720X231189008
spellingShingle Giuseppe Toro
Antonio Benedetto Cecere
Adriano Braile
Annalisa De Cicco
Sara Liguori
Umberto Tarantino
Giovanni Iolascon
New insights in lower limb reconstruction strategies
Therapeutic Advances in Musculoskeletal Disease
title New insights in lower limb reconstruction strategies
title_full New insights in lower limb reconstruction strategies
title_fullStr New insights in lower limb reconstruction strategies
title_full_unstemmed New insights in lower limb reconstruction strategies
title_short New insights in lower limb reconstruction strategies
title_sort new insights in lower limb reconstruction strategies
url https://doi.org/10.1177/1759720X231189008
work_keys_str_mv AT giuseppetoro newinsightsinlowerlimbreconstructionstrategies
AT antoniobenedettocecere newinsightsinlowerlimbreconstructionstrategies
AT adrianobraile newinsightsinlowerlimbreconstructionstrategies
AT annalisadecicco newinsightsinlowerlimbreconstructionstrategies
AT saraliguori newinsightsinlowerlimbreconstructionstrategies
AT umbertotarantino newinsightsinlowerlimbreconstructionstrategies
AT giovanniiolascon newinsightsinlowerlimbreconstructionstrategies