Traumatic soft tissue defects: a perspective review on reconstruction and communication priorities from the orthopaedic trauma surgeon as a partner in care

Abstract

Communication and coordination between orthopedic and plastic surgeons improve outcomes in severe extremity trauma. The “orthoplastics” approach to limb salvage incorporates priorities and skillsets from both fields. Prevention of infection, coordinated skeletal and soft tissue reconstruction, and communication during recovery and rehabilitation are key priorities. The purpose of this review is to describe the orthopedic trauma surgeon’s perspectives on lower extremity reconstruction, including initial management, techniques and timing for provisional and definitive skeletal reconstruction, and considerations for rehabilitation and orthotic use to optimize functional outcomes.