Evidence map›Paper›PMID 31456608›Full record

ReviewIndian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India2019

Initial Assessment, Debridement, and Decision Making in the Salvage of Severely Injured Lower Extremity.

S Raja Sabapathy, Hari Venkatramani, Monusha Mohan

Abstract readReview
In one paragraph

Review in Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Management of Complex Upper Extremity Trauma with Associated Vascular Injury.Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

S Raja SabapathyDepartment of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India.
Hari VenkatramaniDepartment of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India.
Monusha MohanDepartment of Plastic Surgery, Ganga Medical Centre and Hospitals, Coimbatore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An open fracture with extensive skin and soft tissue loss is considered as a severely injured lower extremity. Advances in rapid transport, resuscitation, skeletal fixation, and microsurgical techniques to cover large soft tissue and bone defects have made possible the salvage of these severely injured limbs. Salvage exercise is skill and resource intensive and could take a long time frame. The goal of management is to obtain painless independent weight bearing walking in a time frame and cost that the patient can afford. Decisions taken and the quality of care provided on day 1 determine the ultimate success. Inappropriate decisions and treatment lead to increased morbidity and secondary amputation. Infection is the commonest complication. Limb salvage scores are helpful to predict salvage and guide the sequence of treatment. Once the decision is taken for salvage, debridement, early skeletal fixation, and soft tissue cover are the key to success.

Indexed as

debridementlimb salvage scoreslower limbopen fractures

Identifiers

PMID31456608
PMCPMC6664836

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.