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Severe Injuries to the Limbs: Staged Treatment
By A. Lerner, D. Reis, and M. Soudry
224 pp, $189.00
New York, NY, Springer, 2007
ISBN-13: 978-3-5406-9892-0
JAMA. 2008;299(24):2901-2902.
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The 3 well-recognized and well-published authors of this text are experts in their field and draw from an extensive and impressive experience spanning 40 years in the treatment of the most severe and complex extremity injuries. Geopolitical circumstances at Rambam Medical Center in Haifa, Israel, have required the authors to treat mass casualties of terrorism and warfare at a large tertiary referral center. This book presents a comprehensive and well-illustrated work on initial evaluation, staged reconstructive efforts, and the postoperative rehabilitation of critically injured patients with high-energy extremity injuries by innovative use of external fixation.
The principles of damage-control orthopedics are stressed throughout. The authors use a consistent treatment algorithm that includes immediate stabilization through (mostly unilateral) external fixation, thorough and radical debridement to prevent infection, and fascial decompression. Staged soft-tissue coverage is followed by definitive, circular, or hybrid stabilization according to the principles of Ilizarov (tissue distraction genesis). Both . . . [Full Text of this Article]
David L. Helfet, MD, Reviewer
Department of Orthopaedic Surgery
Weill Medical College of Cornell University
Orthopaedic Trauma Service
Hospital for Special Surgery/New York-Presbyterian Hospital
New York, New York
helfetd@hss.edu
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