An ABC Technical Algorithm to Treat the Mangled Upper Extremity: Systematic Surgical Approach

J Hand Surg Am. 2017 Nov;42(11):934.e1-934.e10. doi: 10.1016/j.jhsa.2017.08.017. Epub 2017 Sep 23.

Abstract

Mangled upper extremity, as a result of trauma, is a life-altering event requiring a multidisciplinary approach for a successful outcome. All attempts are made to salvage the extremity and preserve function, which may require multiple complex procedures. This paper discusses the importance of a systematic reconstructive sequence and provides a review of commonly utilized techniques, supported with illustrative cases.

Keywords: Complication; mangled; surgical approach; upper extremity.

Publication types

  • Review

MeSH terms

  • Algorithms
  • Arm Injuries / diagnosis*
  • Arm Injuries / surgery*
  • Combined Modality Therapy / methods
  • Female
  • Follow-Up Studies
  • Fractures, Bone / surgery
  • Humans
  • Injury Severity Score
  • Limb Salvage*
  • Male
  • Patient Care Team / organization & administration*
  • Peripheral Nerve Injuries / surgery
  • Plastic Surgery Procedures / methods*
  • Soft Tissue Injuries / surgery
  • Treatment Outcome
  • Upper Extremity / injuries
  • Upper Extremity / surgery