Qureshi Mobeen K, Ghaffar Ali, Tak Sameem, Khaled Ahmad
Trauma and Orthopaedics, East Lancashire NHS Hospitals, Blackburn, GBR.
Trauma and Orthopaedics, Kettering General Hospital, Kettering, GBR.
Cureus. 2020 Aug 28;12(8):e10092. doi: 10.7759/cureus.10092.
In the trauma situation where the trauma team is faced with a severely injured limb, it requires judicious thinking and evaluating not only the injury in isolation but the patient as a whole when considering the management options. The aim must be to give the best quality of life and avoid repeated admissions to hospital for associated complications in the future. The decision to amputate or salvage a limb should be based on numerous factors, such as the patient's pre-injury status, injury factors (soft tissue injury, location, contamination and physiological status), patient's wish and available resources. The biggest challenge when faced with a complex limb injury is deciding what management route to take with a satisfactory outcome for the patient being the main goal. Many studies have been undertaken looking at the outcome of successful limb salvage versus primary amputation. Studies such as the Learning Early About Peanut Allergy (LEAP) study have concluded that there was no difference of outcome at the two-year stage between the two strategies.
在创伤团队面对严重受伤肢体的创伤情况下，在考虑治疗方案时，不仅需要审慎思考和评估孤立的损伤情况，还需对患者整体状况进行评估。目标必须是给予最佳生活质量，并避免患者未来因相关并发症而反复入院。截肢或保肢的决定应基于众多因素，如患者受伤前的状况、损伤因素（软组织损伤、位置、污染和生理状态）、患者意愿以及可用资源。面对复杂肢体损伤时，最大的挑战是决定采取何种治疗途径，以患者获得满意结果为主要目标。已经开展了许多研究来观察成功保肢与一期截肢的结果。诸如“早期了解花生过敏”（LEAP）研究等得出结论，在两年阶段，这两种策略的结果没有差异。
