TY  - CHAP
M1  - Book, Section
TI  - Lower Extremity
A1  - Jang, Yohan
A1  - Gaski, Greg E.
A1  - Virkus, Walter W.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
PY  - 2020
T2  - Trauma, 9e
AB  - KEY  POINTSCompartment  syndrome,  mangled  extremities,  high-grade  open  fractures,  irreducible  dislocations,  and  fractures  with  vascular  compromise  require  emergent  treatment.Low-grade  open  fractures,  femur  fractures,  and  hip  fractures  are  ideally  treated  within  24  hours.Evidence  shows  decreased  infection  rate  for  open  fractures  when  antibiotics  are  administered  within  1  hour  of  admission.Extreme  diligence  is  required  in  the  care  of  knee  dislocations  due  to  a  7%  to  15%  incidence  of  injury  to  the  popliteal  artery.Unnecessary  testing  delays  surgery,  increases  costs,  and  does  not  provide  clinical  benefit  in  geriatric  patients  with  hip  fractures.Geriatric  hip  fractures  are  often  life-changing  events,  with  only  60%  of  patients  returning  to  preinjury  activity  level  and  a  30%  1-year  mortality.External  fixation  is  an  excellent  option  for  rapid  initial  stabilization  of  many  fractures  in  the  lower  extremities.Non–life-threatening  injuries  such  as  pilon,  calcaneus,  and  Lisfranc  fractures  can  have  a  dramatic  long-term  negative  impact  on  a  patient’s  functional  status.Advances  in  prosthetics  currently  make  below-knee  amputation  a  better  functional  option  than  limb  salvage  in  many  patients.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175139752
ER  -