Review Question - QID 3000

Action	Numeric Key	Letter Key	Function Key
Choose 1	1
Choose 2	2
Choose 3	3
Choose 4	4
Choose 5	5
Submit Response			Enter
Previous Question			Left Arrow
Next Question		N	Right Arrow
Open/Close Bookmode		C
Open Image			Spacebar

Tibial Shaft Fractures Treatment Operative QID: 3000 (OBQ09.187)

QID 3000 (Type "3000" in App Search)

A 45-year-old female pedestrian is hit by an automobile. A clinical photo and radiograph are shown in Figure A and B. What is the most important factor in a surgeon's decision of determining between limb salvage and amputation?

Type & Select Correct Answer

Type in at least one full word to see suggestions list

Level of education

31/1955

Lack of plantar sensation

19%

375/1955

Contralateral lower extremity open fracture(s)

44/1955

Severity of soft tissue injury

74%

1448/1955

Amount of tibial bone loss

44/1955

Select Answer to see Preferred Response

Review TC In New Tab

The clinical photo and radiograph are consistent with a Grade III open tibia fracture.

The referenced study by the LEAP group reviews 527 patients with severe lower extremity fractures and found that the most important factor in determining the ability to salvage the extremity remains the severity of the soft tissue injury of that extremity. Bone loss has been shown to have no effect on the eventual outcome (amputation versus salvage). Similarly, plantar sensation at presentation has no bearing on final outcome, and in the LEAP study, often either partially or fully returned.