<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Boettcher-Haberzeth S</dc:creator>
  <dc:creator>Schiestl C</dc:creator>
  <dc:date>2013</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">The optimal management sequence to treat avulsion injuries in children is particularly difficult because of the following problems: (1) Assessment of these rare but frequently massive injuries can be very difficult and treacherous, as the extent of the injury is often underestimated and treatment therefore considered inappropriate; (2) Avulsion injuries have a high risk of infection: lesions are always contaminated due to the mechanism of injury (mostly vehicle accidents) and subsequent long-term hospitalization adds an additional risk for nosocomial infections; (3) Children with avulsion injuries have an increased risk to develop functional deficits: although the body grows, scars and reconstructed tissues may not adapt sufficiently and this may lead to serious constraints. Because of these problems, avulsion injuries may lead to a high morbidity and even mortality, especially if the injury is mismanaged. Reviewing the most recent data regarding the management of avulsion injuries yields the following key points: (1) A scoring system may help to assess the primary dimension of the defect; (2) Innovative techniques such as the use of a Vacuum Assisted Closure system may lower the risk of infection; (3) Choosing a comprehensive, reconstructive approach taking the growth of the child into consideration, may reduce the development of serious functional deficits and improve cosmetic outcome.</dc:description>
  <dc:identifier>https://sonar.ch/global/documents/250236</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1055/s-0033-1353493</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/23982820</dc:relation>
  <dc:source>European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie. - 2013</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Child</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Cicatrix</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Debridement</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Decision Support Techniques</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Negative-Pressure Wound Therapy</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Prognosis</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Reconstructive Surgical Procedures</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Skin Transplantation</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Soft Tissue Injuries</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Surgical Flaps</dc:subject>
  <dc:subject xmlns:ns12="xml" ns12:lang="en">Wound Infection</dc:subject>
  <dc:title xmlns:ns13="xml" ns13:lang="en">Management of avulsion injuries.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>