Citation

Shenaq DS, Gottlieb LJ. Hand Clin. 2017; 33(2): 257-267.

Affiliation

The University of Chicago Medicine, 5841 South Maryland Avenue, MC 6035, Chicago, IL 60637, USA. Electronic address: lgottlie@surgery.bsd.uchicago.edu.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.hcl.2016.12.003

PMID

28363293

Abstract

New treatments of frostbite have led to unprecedented salvage of extremities including fingers and toes. Success is predicated on prompt institution of time-sensitive protocols initiated soon after rewarming, particularly the use of thombolytics. Unfortunately, in the urban setting, most patients are not candidates for these treatment modalities. Triple-phase bone scans have allowed for early determination of devitalized parts that need amputation. Reconstructive surgical techniques are typically used to salvage limb length in these devastating injuries.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en

Keywords

Bone scan; Frostbite; Limb salvage; Thrombolytics; Urban