Trauma grave em membro inferior / Severe lower limb trauma
Rev. bras. cir. plást
;
28(2): 320-323, abr.-jun. 2013. ilus, tab
Article
in Portuguese
| LILACS
| ID: lil-702625
RESUMO
Traumatismos graves de membros inferiores, com grandes perdas cutâneas e comprometimento de estruturas vitais, são casos de difícil resolução. A combinação de vários fatores, como esforço realizado e capacidade de distinguir a gravidade das lesões, ou seja, diferenciar as lesões recuperáveis ou viáveis daquelas que inevitavelmente irão evoluir para amputação, tem importante papel. Para tanto, surgiram índices que buscam estratificar a gravidade da lesão e predizer a necessidade de amputação, como o índice MESS (do inglês, Mangled Extremity Severity Score). Neste artigo, é reportado um caso de trauma grave de membro inferior, com reconstrução baseada no índice MESS, com emprego de múltiplos retalhos musculares e boa evolução funcional.
ABSTRACT
Severe trauma to the lower limbs, with major skin loss and the compromise of vital structures, is often difficult to treat. A combination of several factors such as ability and effort made to distinguish lesion severity - that is, to differentiate recoverable traumas from those that will inevitably progress to amputation - plays an important role. Therefore, indices were developed to facilitate the stratification of injury severity and prediction of the need for amputation, such as the Mangled Extremity Severity Score (MESS). In this article, we report a case of severe trauma to the lower limb, where reconstruction was performed based on the MESS index with multiple muscle flaps, and a good functional outcome was achieved.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Surgical Flaps
/
Trauma Severity Indices
/
Plastic Surgery Procedures
/
Lower Extremity
/
Amputation, Surgical
/
Leg Injuries
Type of study:
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
Portuguese
Journal:
Rev. bras. cir. plást
Journal subject:
General Surgery
Year:
2013
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Hospital de Base/BR
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