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Soft Tissue Injuries

  • Chapter
The Poly-Traumatized Patient with Fractures

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Abstract

Poly-traumatized patients are prone to develop challenging complications related to exposure and insufficient soft tissue coverage of bone, muscle, joint, nerves and vasculature. Thus, soft tissue injury is a decisive factor in determining a prolonged inflammatory acute phase response, microbial infection or both a prolonged critical care and rehabilitation interval. Therefore, a focus both on surgical and non-surgical measures in these patients should be directed at minimizing secondary, thus avoidable damage to soft tissue in unison with early-intend reconstructive measures. Also, a deeper understanding of biological mechanisms of tissue inflammation and regeneration is likely to further improve outcomes in these patients. This chapter gives an overview over various advances and techniques in surgical wound management, tissue grafting and free vascularized tissue transfer in order to defer long-term functional and aesthetic sequels. In addition, a comprehensive approach to wound closure and soft tissue coverage is given.

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Authors and Affiliations

  1. Department of Plastic and Hand Surgery – Burn Center, University Clinics RWTH Aachen, Aachen, Germany

    Norbert Pallua MD & Stefan Bohr MD

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  1. Norbert Pallua MD
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  2. Stefan Bohr MD
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Correspondence to Norbert Pallua MD .

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Editors and Affiliations

  1. Department of Trauma, Hand, Plastic and Reconstructive Surgery, Aachen Medical Center, Aachen, Germany

    Hans-Christoph Pape

  2. Florida Orthopaedic Institute, Temple Terrace, Florida, USA

    Roy Sanders

  3. Orthopedic Medicine Specialists, Arlington, Texas, USA

    Joseph Borrelli, Jr.

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Pallua, N., Bohr, S. (2016). Soft Tissue Injuries. In: Pape, HC., Sanders, R., Borrelli, Jr., J. (eds) The Poly-Traumatized Patient with Fractures. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47212-5_7

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