SGW to Femoral triangle - Synthetic vs "autogenous"

[Ronald Gross]

OK, so now you have me  right where you want me.   ;-)
Again, no pun intended, but I am going to go out on a limb and say that
I would still strongly suggest that the limb be amputated; we have heard
that there is enough to "ambulate ok".  The functional result of
"ambulate OK", and what it is going to take to get there - months and
months of surgery, eventual addition to pain medications, depression,
out of work for months and ever year(s) to attain minimal function
(walking) without the ability to return to gainful employment, and
lastly the high probability of financial ruin - do not seem to be the
right thing to do just to preserve something that will be "OK" to
"ambulate".  Save as much tissue as possible, swing flaps, look to a
(high) AK and get this kid up and moving as soon as possible.
Just my 2 cents.
Ron

>>> <KMATTOX at aol.com> 8/9/2006 7:10 PM >>>

In a message dated 8/9/2006 6:07:50 P.M. Central Standard Time,  
Rgross at harthosp.org writes:

I STILL  have not heard from Ken exactly what has been left with
respect to the  gentleman's thigh musculature, and exactly what sort
of
functional outcome  the physiatrists are predicting with best case
scenario muscle mass they  are going to have to work 


Enough muscle to work leg.   Rehab people think they can work  with him
to 
ambulate ok with existing nerves and muscles.  
 
k
--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/traumalist.html