SOFT-TISSUE INJURY TO THE FOOT AND ANKLE: LITERATURE REVIEW AND STAGED MANAGEMENT PROTOCOL

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorGODOY-SANTOS, Alexandre Leme
dc.contributor.authorSCHEPERS, Tim
dc.contributor.authorRAMMELT, Stefan
dc.contributor.authorSAKAKI, Marcos Hideyo
dc.contributor.authorMATELUNA, Cristian Ortiz
dc.contributor.authorSPOSETO, Rafael Barban
dc.contributor.authorSYMEONIDIS, Panagiotis
dc.contributor.authorBITAR, Rogerio
dc.contributor.authorDARWISH, Husam
dc.contributor.authorZWIPP, Hans
dc.contributor.groupauthorSoft Tissue Foot Ankle Grp
dc.date.accessioned2019-09-23T14:22:40Z
dc.date.available2019-09-23T14:22:40Z
dc.date.issued2019
dc.description.abstractComplex trauma of the foot and ankle is characterized by fractures with severe soft tissue damage associated with neurovascular injury and joint involvement. These injuries are frequently present in the polytraumatized patient and are a predictor of unfavorable clinical outcome. In the initial approach to a patient with complex foot and ankle trauma, the decision between amputation and reconstruction is crucial. The various existing classification systems are of limited effectiveness and should serve as tools to assist and support a clinical decision rather than as determinants of conduct. In the emergency department, one of two treatment options must be adopted: early complete treatment or staged treatment. The former consists of definitive fixation and immediate skin coverage, using either primary closure (suturing) or flaps, and is usually reserved for less complex cases. Staged treatment is divided into initial and definitive. The objectives in the first phase are: prevention of the progression of ischemia, necrosis and infection. The principles of definitive treatment are: proximal-to-distal bone reconstruction, anatomic foot alignment, fusions in severe cartilage lesions or gross instabilities, stable internal fixation and adequate skin coverage.eng
dc.description.indexPubMedeng
dc.identifier.citationACTA ORTOPEDICA BRASILEIRA, v.27, n.4, p.223-229, 2019
dc.identifier.doi10.1590/1413-785220192704221240
dc.identifier.eissn1809-4406
dc.identifier.issn1413-7852
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/33643
dc.language.isoeng
dc.publisherATHA COMUNICACAO & EDITORAeng
dc.relation.ispartofActa Ortopedica Brasileira
dc.rightsopenAccesseng
dc.rights.holderCopyright ATHA COMUNICACAO & EDITORAeng
dc.subjectAnkleeng
dc.subjectFooteng
dc.subjectSoft-tissueeng
dc.subjectTraumaeng
dc.subjectFracture, Boneeng
dc.subject.otherlimb salvageeng
dc.subject.otherscoring systemseng
dc.subject.othercomplex traumaeng
dc.subject.otheropen fractureseng
dc.subject.othermangled footeng
dc.subject.othermajor traumaeng
dc.subject.otheramputationeng
dc.subject.otherepidemiologyeng
dc.subject.otherrecoveryeng
dc.subject.otherreconstructioneng
dc.subject.wosOrthopedicseng
dc.titleSOFT-TISSUE INJURY TO THE FOOT AND ANKLE: LITERATURE REVIEW AND STAGED MANAGEMENT PROTOCOLeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryGrécia
hcfmusp.affiliation.countryÁrabia Saudita
hcfmusp.affiliation.countryAlemanha
hcfmusp.affiliation.countryChile
hcfmusp.affiliation.countryisode
hcfmusp.affiliation.countryisocl
hcfmusp.affiliation.countryisogr
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisosa
hcfmusp.author.externalSCHEPERS, Tim:Amsterdam UMC, Amsterdam, Netherlands; Univ Sao Paulo, Fac Med, Hosp Clin, Dept Orthoped & Traumatol,DOT,FMUSP, Sao Paulo, Brazil
hcfmusp.author.externalRAMMELT, Stefan:Univ Klinikum Carl Gustav Carus, Dresden, Germany
hcfmusp.author.externalMATELUNA, Cristian Ortiz:Univ Desarrollo, Concepcion, Chile
hcfmusp.author.externalSYMEONIDIS, Panagiotis:St Lukes Hosp, Panorama, Greece
hcfmusp.author.externalBITAR, Rogerio:Hosp Special Surg, 535 E 70th St, New York, NY 10021 USA
hcfmusp.author.externalDARWISH, Husam:King Abdulaziz Univ Hosp, Jeddah, Saudi Arabia
hcfmusp.author.externalZWIPP, Hans:Univ Klinikum Carl Gustav Carus, Dresden, Germany
hcfmusp.citation.scopus5
hcfmusp.contributor.author-fmusphcALEXANDRE LEME GODOY DOS SANTOS
hcfmusp.contributor.author-fmusphcMARCOS HIDEYO SAKAKI
hcfmusp.contributor.author-fmusphcRAFAEL BARBAN SPOSETO
hcfmusp.description.beginpage223
hcfmusp.description.endpage229
hcfmusp.description.issue4
hcfmusp.description.volume27
hcfmusp.origemWOS
hcfmusp.origem.scieloSCIELO:S1413-78522019000400223
hcfmusp.origem.scopus2-s2.0-85070721667
hcfmusp.origem.wosWOS:000478091600007
hcfmusp.publisher.citySAO PAULO SPeng
hcfmusp.publisher.countryBRAZILeng
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