الفهرس 
REVIEW OF LITERATUREOnly 14 pages are availabe for public view
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Abstract
Summary and conclusion
Based on the analysis of 30 patients with severe extremity injuries involving multiple systems, limb salvage was attained by careful initial and operative evaluation of vascular, bone, soft tissue and nervous systems.
Motor vehicle accident (MVA) was the commonest cause of severe extremity trauma (40%), and limb salvage succeeded in 66.66% of the cases.
The time of presentation from onset of trauma to operative interference is a very crucial item in determining the outcome of patients when other factors such as advanced facilities, expert decision making surgeons and technical skills are available.
In our study the main line of treatment was operative interference for fixation of fractures in 11 patients (36.66%), and for revascularization of vascular injury in 29 patients (96.66%) which resulted in 80% limb salvage, 10% secondary amputation and 10% mortality due to associated hand injuries.
Salvage of complex vascular and orthopedic injuries must be tempered by a realistic assessment of the results, not only for the injured part but for a patient as a whole.
By more accurately identifying the patient who most benefit from “heroic” multispeciality efforts, the surgeon would can assure a more proper outcome and appropriate use of recourses.
By proceeding with early secondary amputation, it is often possible to quickly return a healthy productive individual back to society rather than have the patient suffer from a chronic non functional state.