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The Mangled Extremity team was contacted about a man that sustained a work-related injury when he fell while working on a road construction crew. His arm was pinned under the road compacting machine for a number of minutes. He was taken emergently to a trauma center and after he was stabilized the Extremities at Risk team was contacted. He was transferred to Presbyterian/St. Luke's Medical Center for care of his arm. The image to the right shows the soft tissue loss on the top surface of his arm. His hand is swollen from the injury.
The Mangled Extremity Team at The Denver Clinic for Extremities at Risk was contacted about a young man who had been injured in an accident where he was pinned between the bumper of two cars causing severe fractures of both legs. He was transported from the accident to a local hospital where he was cleared of other trauma, then taken to the operating room for debridement and stabilization of the his lower leg fractures with external fixation devices. After the fractures were stabilized he was transferred to Presbyterian/St. Luke's Medical Center for further management.
| Fracture Stabilization Techniques |
| Early Soft Tissue Coverage |
| Amputation |
| Management of Infection |
| William Brown, MD |
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Dr. William Brown is one of three plastic surgeons with the mangled extremity team. Their interest in vascularized bone flaps and free tissue transfers is important for the care of traumatic extremity injury.