Operative Interdisziplinarit�t. Extremit�ten

Abstract

From the perspective of trauma and orthopedic surgery interdisciplinary reconstructive surgery of the extremities encompasses different indications ranging from IIIB/Copen fractures with major segmental loss of bone and soft tissue, to arterial vessel in-jury necessitating vascular repair and to biological, plastic reconstructions following resections of musculoskeletal tumors. The interdisciplinary treatment concept including trauma-orthopedic surgery combined with vascular, plastic and neuro- as well as microsurgery has significantly decreased amputation rates and functional deficits thereby improving quality of life and long-term oncological outcome The multisdisciplinary management of both complex trauma and malignant bone/ soft tissue sarcoma of the extremity is an integral task of the surgical trauma or tumor center. Close interdisciplinary communication and expierence are the precondition for performance of a priority-adapted therapeutic strategy, low complication rates and improvement of overall prognosis.

Limb Salvage Versus Amputation: A Review of the Current Evidence

“…The strategy of treatment options is based on the type of fracture and associated soft tissue damage, the duration of the warm ischaemic period and the overall condition of the patient [ 2 ]. In the case of polytrauma patients and in those who are in a critical condition physiologically, limb salvage may be contraindicated, as the priority is to preserve life [ 3 ].…”