Causes and Clinical Types of Burns
FLAME BURNS AND SCALDS Flame burns are the most common burns in adults. They are usually caused by the mishandling of flammable liquids, ignition of clothing, and house fires and…
Classification of Burns
Heat of sufficient intensity and duration causes coagulation necrosis and cell death, but the cell damage due to heat of lesser intensity is potentially reversible. The region of immediate cell…
Pressure Ulcers
In 2007, the National Pressure Ulcer Advisory Panel revised its previous staging scale to include Suspected Deep Tissue Injury and Unstageable Ulcers in addition to the previously described Stages I…
Excision of Deep Pressure Ulcer
Once the ulcer is clean and a granulation tissue bed well established, definitive coverage/closure needs to be addressed. Small superficial ulcers heal by secondary intention as long as pressure is…
Treatment of Open Soft Tissue Wounds
With the exception of certain nerve injuries, all soft tissues heal by the formation of collagenous scar tissue. Prompt, careful, and anatomic reapproximation of injured tendon, muscle, and skin provides…
Open Soft Tissue Wounds
Crushing injury takes many forms. One of the most vulnerable soft tissues is the skin; continuous pressure applied for more than 2 hours can result in ischemia and the development…
Closed Soft Tissue Injuries
CLOSED SOFT TISSUE INJURIES Closed injuries are characterized by variable degrees of damage to skin and underlying soft tissue and are an inevitable component of any fracture (see Plate 7-1)….
Limb-Salvage Procedures
ROTATIONPLASTY This reconstructive procedure is used in a skeletally immature patient after en bloc extra-articular resection of osteosarcoma about the knee (see Plate 6-33). The technique was devised by Van…
Limb-Salvage Procedures for Reconstruction
Two principles are recognized in limb-salvage surgery—careful, adequate excision of the tumor followed by optimal functional reconstruction of the limb. Patient lifestyle and expectations should be carefully considered when selecting…
Radiologic Findings in Limb-Salvage Procedures
RECONSTRUCTION OF DIAPHYSIS Reconstruction of the diaphysis (intercalary procedure) after tumor removal is achieved with bone grafts or prosthetic implants, or both (see Plates 6-31 and 6-32). Grafting alternatives include…
