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The Mangled Extremity in Children

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Pediatric Orthopedic Surgical Emergencies

Abstract

A mangled extremity is an extremity that has sustained severe traumatic injury to at least three of the systems of a limb (soft tissue, bone, nerves, and ­vasculature). Management of mangled extremities in children poses a difficult challenge to the treating surgeon, as decisions must be made quickly to ensure the best ­possible outcome for the patient. The most difficult decision is whether limb ­salvage should be attempted or amputation should be performed. This chapter reviews the presentation, evaluation, treatment, and outcomes of mangled extremities in children.

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Authors and Affiliations

  1. Drexel University College of Medicine, 2900 W. Queen Ln, Philadelphia, PA, 19129, USA

    Sapan D. Gandhi

  2. Department of Orthopedics, University of Maryland School of Medicine, 1 Texas Station Court, Suite 300, Timonium, MD, 21093, USA

    Joshua M. Abzug MD

  3. Orthopedic Center for Children, St. Christopher’s Hospital for Children, 3601 A Street, Suite 133-1, Philadelphia, PA, 19134, USA

    Martin J. Herman

Authors
  1. Sapan D. Gandhi
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  2. Joshua M. Abzug MD
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  3. Martin J. Herman
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Corresponding author

Correspondence to Sapan D. Gandhi .

Editor information

Editors and Affiliations

  1. , Dept. of Orthopedics, University of Maryland School of Medicin, Texas Station Court, Suite 300 1, Timonium, 21093, Maryland, USA

    Joshua M. Abzug

  2. , Orthopedic Center for Children, St. Christopher's Hospital for Children, A Street, Suite 133-1 3601, Philadelphia, 19134-1095, Pennsylvania, USA

    Martin J. Herman

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© 2012 Springer Science+Business Media New York

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Gandhi, S.D., Abzug, J.M., Herman, M.J. (2012). The Mangled Extremity in Children. In: Abzug, J., Herman, M. (eds) Pediatric Orthopedic Surgical Emergencies. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8005-2_2

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  • DOI: https://doi.org/10.1007/978-1-4419-8005-2_2

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-8004-5

  • Online ISBN: 978-1-4419-8005-2

  • eBook Packages: MedicineMedicine (R0)

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