To Cut or not to cut.ppt .pdf

File information


Original filename: To Cut or not to cut.ppt.pdf
Title: To Cut or not to cut:: The surgical decision-making for limb salvaging
Author: Gavish

This PDF 1.5 document has been generated by Microsoft® PowerPoint® 2010, and has been sent on pdf-archive.com on 14/01/2015 at 02:04, from IP address 218.24.x.x. The current document download page has been viewed 731 times.
File size: 1.6 MB (13 pages).
Privacy: public file


Download original PDF file


To Cut or not to cut.ppt.pdf (PDF, 1.6 MB)


Share on social networks



Link to this file download page



Document preview


To Cut or not to cut:
The surgical decisionmaking for limb salvaging
WeiFeng Zeng, ZhiHong Tong
Hand and Foot Microsurgery ,The Second Hospital of Dalian
Medical University, China
Email: zengweifeng316@126.com

Case Report
Initial Presentation – Day 1
Injuries
Plan of Action
Stage I
Stage II – Day 30
Stage III – Day 40
Stage IV – Day 50
Results
Conclusion

Initial Presentation
 March 2014 – Motorvehicular Accident
 Healthy 23 year old male
 2 legs crushed by the truck
 Brought to the ER within 1 hour
 Vitals Unstable
 Hypovolemic Shock
 Tachypnea
 Consequent Blood Loss

 Multiple ribs fracture
 Pulmonary contusion

 AND ALSO……..

Injuries –
Right Leg
 Avulsion from the thigh to the ankle
 Skin degloving of the right ankle and hind foot
 Anterior and posterior tibial neurovascular bundle trauma
 Right ankle dislocation
 Lacerated dorsalis pedis
 Fracture of the tibia
 Fracture of the fibula

Injuries –
Left Leg
 Crushed flat
 Extensive soft tissue damage
 Multiple joint dislocation
 Exposed plantar tendons
 Degloving injury to the lateral, medial and dorsal
malleolus
 Metatarsal dislocation
 Avascular big toe

Plan of Action
 4-Staged Intervention
 Stage I
 Emergency Intervention

 Stage II
 Debridement

 Stage III
 Free Flap

 Stage IV
 Mesh Skin Grafting
 Micro Skin Grafting

Stage I: Emergency Intervention
 Patient refuse amputation
 Hemostasis
 Correction of Shock
 Packed Cell Volumes, Colloids






K-Wire Fixation
Left 2nd toe amputated
Packed Gauze Dressing
Sent to ICU Post-Op

Stage II: Debridement
 4 sessions of Debridement within 1 month
 Prepare for Free Flap
 Assess Healing Process
 No Rehabilitation Started

Stage III: Anterolateral Thigh Flap (ALTF)
 Left foot and ankle defect of 26cm x 19cm
 26cm x 18cm anterolateral thigh flap
 Abdominal skin grafting
 Malleolus left untouched for now


Related documents


to cut or not to cut ppt
past medical history
b15m1 fractures in children dr troncillo group 4
practice brochure
wrist arthroscopy
atoll surgical technique old

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file To Cut or not to cut.ppt.pdf