Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with high-energy trauma to the [Extremity]. Clinical assessment reveals extensive soft tissue injury, periosteal stripping, and bone exposure consistent with Gustilo-Anderson grade IIIB/C. Neurovascular status: [Intact/Compromised]. Significant contamination noted. Mechanism of injury: [e.g., MVA/Crush].
Clinical Examination Findings
Physical examination reveals a mangled extremity with massive soft tissue loss, exposed bone, and devitalized muscle. Gustilo IIIB: requires flap coverage. Gustilo IIIC: arterial injury requiring repair. Capillary refill: [Delayed/Absent]. Pulses: [Palpable/Doppler/Absent]. Sensation: [Intact/Diminished/Absent]. Motor function: [Grade 0-5].
Treatment Protocol
Immediate surgical debridement and irrigation performed. Stabilization via [External Fixation]. Gustilo IIIB/C protocol initiated: IV antibiotics, tetanus prophylaxis, and serial debridements. Planning for definitive soft tissue reconstruction via [Free Flap/Pedicled Flap] and vascular reconstruction if indicated.