Establishing an Evaluation System and Limb-Salvage Protocol for Mangled Lower Extremities in China.

Lu, Shengdi; Han, Pei; Wen, Gen; Wang, Chunyang; Wang, Yanmao; Zhong, Wanrun; Wang, Hongshu; Chai, Yimin · J Bone Joint Surg Am · 2019

expert_opinion · Level V

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Abstract

Road traffic accident-related severely injured extremities account for the majority of disabilities in young people in China. Limb-salvage concepts and techniques vary greatly from physician to physician and from district to district in China. Current severity-scoring systems for lower-extremity injuries lack sensitivity and cannot be used as the sole criterion by which amputation decisions are made. China lacks a national database of mangled lower extremities, which is a priority for both limb-salvage protocols and scoring system development.

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