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Tue Aug 8 05:56:09 BST 2006

Ken

You quote my original statement slightly out of context - I suggested EXTRA_ANATOMIC reconstruction, similar to what Meredith McBride implied. First, however I would review the distal muscle viability and, most importantly, the neurological residual: if there is going to be an insensate, non-functional limb, however well perfused, the leg should be amputated. Young patients rehab well on a above knee stump compared to older patients.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of KMATTOX at aol.com
Sent: Monday, August 07, 2006 9:35 PM
To: trauma-list at trauma.org
Subject: Re: SGW to Femoral triangle - Synthetic vs "autogenous"

In a message dated 8/7/2006 1:58:21 P.M. Central Standard Time,  
tch at sun.ac.za writes:

reconstruction or amputation!

??   Would you really consider an ablative procedure, at this  stage in the 
patients course.  

I like the way you think, for I suggested they consider the same  thing.  

k
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SGW to Femoral triangle - Synthetic vs "autogenous"