Gökay GÖRMELİ, Cemile Ayşe GÖRMELİ, MUSTAFA KARAKAPLAN, REŞİT SEVİMLİ, Mehmet Cengiz ÇOLAK, Cemal FIRAT, KAYA SARAÇ, YÜKSEL ERSOY

Multidisipliner Yaklaşımla Amputasyon Endikasyonu Olan Ekstremite Kurtarılabilir: Olgu Sunumu ve Literatür Derlemesi

Mikrocerrahi tekniklerin gelişmesi ve başarılı multidisipliner yaklaşım sayesinde amputasyon ile sonuçlanabilecek pek çok yaralanma ekstermite koruyucu cerrahi ile tedavi edilmektedir. Kliniğimize açık kırık ile başvuran; amputasyon endikasyonuna rağmen ekstremite rekonstrüksiyon cerrahisi yapılarak takip edilen hastanın klinik seyrini sunduk.

The Amputation Endicated Extremity Can Be Recovered by Multidisciplinary Treatment: A Case Report and Review of Literature

With the development of microsurgical techniques and successfull multidisciplinary approach; many injuries that require amputation can be treated success fully by extremity preventing surgery. We present a case that admitted to our clinic with open fracture and although had amputation endication, treated with extremity reconstruction surgery.between the total average points of the pre-test and the re-test of the scale was not found statistically significant (p=0.30). As a result of the Turkish version of the scale of the values obtained from the PU is defined to be a reliable and valid scale.

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1. Dirschl DR, Dahners LE, The Mangled Extremity: When Should It Be Amputated? J Am Acad Orthop Surg. 1996;4(4):182-90.
2. Cavadas PC, Landin L, Navarro-Monzones A, Soler-Nomdedeu S. Salvage of impending replant failure by temporary ectopic replantation: a case report. J Hand Surg Am. 2006;31(3):463-7.
3. Slauterbeck JR, Britton C, Moneim MS, Clevenger FW. Mangled extremity severity score: an accurate guide to treatment of the severely injured upper extremity. J Orthop Trauma. 1994;8(4):282-5.
4. Norris BL, Kellam JF. Soft-tissue injuries associated with high-energy extremity trauma: principles of management. J Am Acad Orthop Surg. 1997;5(1):37-46.
5. Russell RC, O'Brien BM, Morrison WA, Pamamull G, MacLeod A. The late functional results of upper limb revascularization and replantation. J Hand Surg Am. 1984;9(5):623-33.
6. Court-Brown CM. History of orthopaedic trauma. In: The Evolution of Orthopaedic Surgery, Klenerman L (ed) RoyalSociety of MedPress, Glasgow. 2002, 49-65.
7. Ersan Ö, Tüzüner MM, Ateş Y. Politravmatize hastalarda kasiskelet sistemi travmalarına genel yaklaşım. TOTBİD Dergisi. 2002;1:1-9.
8. Michaelson M. Crush injury and crush syndrome. World J Surg. 1992;16(5):899-903.
9. Better OS. Traumatic rhabdomyolysis ("crush syndrome")--updated 1989. Isr J Med Sci. 1989;25(2):69-72.
10. Better OS. The crush syndrome revisited (1940-1990). Nephron. 1990;55(2):97-103.
11. Zalavras CG, Patzakis MJ. Open fractures: evaluation and management. J Am Acad Orthop Surg. 2003;11(3):212-9.
12. Strauch B, Greenstein B, Goldstein R, Liebling RW. Problems and complications encountered in replantation surgery. Hand Clin. 1986;2(2):389-99.
13. Masquelet AC: Principles of management of soft tissue loss. In: AO Principles of Fracture Management, Rüedi TP, Murphy WM (eds), Georg Theime Verlag. 2000; 641-59.
14. Shatford RA, King DH. The treatment of major devascularizing injuries of the upper extremity. Hand Clin. 2001;17(3):371-93.
15. Wang SH, Young KF, Wei JN. Replantation of severed limbs--clinical analysis of 91 cases. J Hand Surg Am. 1981;6(4):311-8