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Review Question - QID 8167

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QID 8167 (Type "8167" in App Search)
A 26-year-old man is involved in a high-speed motorcycle accident. He sustains a grade IIIB open tibia fracture. Examination reveals a large soft-tissue defect and an insensate foot. What is the expected outcome in this scenario?

Equal functional outcome when limb salvage is compared with amputation

58%

156/271

Worse functional outcome with limb salvage than with primary amputation

21%

57/271

Better functional outcome when amputation is compared with limb salvage

13%

36/271

Amputation within 6 months of injury

3%

9/271

Permanent loss of plantar sensation

4%

11/271

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The Lower Extremity Assessment Project data have shown that absent plantar sensation is not an indication for primary amputation. When looking at a comparison between an insensate salvage group and a sensate salvage group at 2 years follow-up, both groups had an equal proportion (55%) of normal plantar sensation and functionally both groups were equivalent. Absent plantar sensation at initial evaluation is not prognostic for long-term plantar sensory status or functional outcome.

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2.9

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