Key result
Multidisciplinary teams are essential for managing combined orthopaedic and vascular extremity injuries at trauma centers.
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Combined orthopaedic and vascular extremity injuries are limb- and life-threatening emergencies that require a multidisciplinary team approach, ideally at a trauma center with established practice guidelines.
➢ An extremity injury (fracture or dislocation) requiring vascular repair is a challenging emergency surgical condition that requires a multidisciplinary approach. ➢ In North America, the general surgeon is typically the “team lead” as many of these patients are at risk for or already in extremis, with the vascular surgery and orthopaedic surgery services being consulted to treat the extremity injury. ➢ These limb-threatening, and many times life-threatening, injuries are best treated at a trauma center where appropriate personnel and resources are available. ➢ It is important that practice guidelines be set by the treating teams so that discussion and debate can take place in an academic setting prior to treating what is invariably an emergency problem.
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Mullis et al. (2017) conducted a review in Combined orthopaedic and vascular injury. Multidisciplinary team approach was evaluated. A multidisciplinary team approach is essential for managing combined orthopaedic and vascular extremity injuries at trauma centers.
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