Delayed perfusion evaluation in extremity trauma

Samuel Ferguson, Tolga Turker

Research output: Contribution to journalArticlepeer-review

Abstract

After severe trauma to an extremity, it is essential to achieve a stable and non-infected wound in order to facilitate the best outcome following reconstruction. That said, timely, meticulous and adequate debridement is very important. To facilitate the best possible debridement of the wound, it is important to understand the tissue circulation. One available method to evaluate tissue circulation following extremity trauma is indocyanine green (ICG) angiography. Though playing an important role in flap surgeries, ICG may also provide information regarding the perfusion at the zone of injury while circulation quality diminishes. We present a case where ICG angiography initially showed good circulation in a mangled extremity, but later used in alternative way to display lack of flow in the same area of interest.

Original languageEnglish (US)
Article number101655
JournalJournal of Clinical Orthopaedics and Trauma
Volume23
DOIs
StatePublished - Dec 2021

Keywords

  • ICG green
  • Orthopedic
  • Spy
  • Trauma

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

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