Our Mangled Extremity Program (Stable Trauma) is a referral-based system for post-acute extremity injury patients. We provide a center for patients with complex extremity trauma who require a multidisciplinary team of physicians specializing in extremity reconstruction for their care.

Our team of physician accepts patients who are medically stable following significant trauma that has resulted in complex extremity injury. Through our dedicated referral coordinator, we will work with you to arrange for the transfer of a patient to our Extremities at Risk team.

Our Team

• Orthopedic Surgeons Specializing in Complex Extremity Trauma Management
• Plastic Surgeons Specializing in Soft-Tissue Coverage
• Infectious Disease Consultants
• Neurosurgeons
• Pathologists
• Hyperbaric Medicine Consultants
• Physical Medicine & Rehabilitation Consultants
• Intensivists for Complex Medical Management
• Social Worker
• Physical & Occupational Therapists
• Prosthetic & Orthotic Consultants
• Referral Coordinator
• Clinical Research Coordinator

Our Program Focus

• Fracture Stabilization Techniques
      Allograft Transplantation
      Vascularized Bone and Muscle Flaps
      Bone Transport Using Circular External Fixation
• Early Soft Tissue Coverage
• Management of Infection
• Correction of Extremity Deformity
• Leg Length Differences
• Charcot Joints
• Amputation Surgery

The following demonstrates a case study of a 30 yr old man injured in a oil rig explosion. He required a below knee amputation of one leg, and was referred to the Extremities at Risk mangled extremity program for reconstruction of his other leg.

Pre-op picture of the injured lower extremity of the patient. This shows an external fixator spanning the area of missing bone.	Intra-operative picture showing plate fixation of fracture with an antibiotic impregnated cement spacer bridging the area of missing bone.	Intra-operative picture of a latissimus free flap covering the open area of the leg after the spacer was placed.

Picture of the patient's leg 3 months later. This was taken prior to the surgery to replace the cement spacer with allograft bone.	Allograft bone cut to fit the space where the spacer will be removed.	Picture demonstrating the allograft in place.

X-ray of allograft in place. The patient has returned to work after a year of surgical interventions.