Multi-Disciplinary Management of the Mangled Lower Extremity: Part II.

The management of mangled extremities has long produced contention among the orthopedic surgery community due to the complexity of injuries and difficulty predicting postoperative outcomes for limb reconstruction and amputation. This review discusses reliable prognostic indicators as well as socioeconomic factors that can drastically alter the feasibility and burden of various treatments for mangled lower extremity patients and treating surgeons. This review emphasizes an integrated, multidisciplinary approach to mangled extremity management, allowing for efficient utilization of resources and prompt stabilization and fixation for patients. The guidelines detailed in this review may expedite clinical decision-making and improve outcomes for future patients.