©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Sep 18, 2025; 16(9): 111218
Published online Sep 18, 2025. doi: 10.5312/wjo.v16.i9.111218
Published online Sep 18, 2025. doi: 10.5312/wjo.v16.i9.111218
Towards comprehensive care in crush syndrome: Expanding the multidisciplinary framework
Luca Galassi, Postgraduate School of Vascular and Endovascular Surgery, University of Milan, Milan 20122, Lombardy, Italy
Federica Facchinetti, School of Medicine and Surgery, University of Milan-Bicocca, Monza 20900, Lombardy, Italy
Author contributions: Galassi L wrote the original draft; Facchinetti F contributed to conceptualization, writing, reviewing, and editing; Galassi L and Facchinetti F participated in drafting the manuscript; all authors have read and approved the final version of the manuscript.
Conflict-of-interest statement: Luca Galassi and Federica Facchinetti declare that they have no conflicts of interest relevant to this letter.
Corresponding author: Luca Galassi, Lecturer, Researcher, Postgraduate School of Vascular and Endovascular Surgery, University of Milan, Via festa del perdono 7, Milan 20122, Lombardy, Italy. lucagalassimd@gmail.com
Received: June 26, 2025
Revised: July 10, 2025
Accepted: August 1, 2025
Published online: September 18, 2025
Processing time: 77 Days and 2.7 Hours
Revised: July 10, 2025
Accepted: August 1, 2025
Published online: September 18, 2025
Processing time: 77 Days and 2.7 Hours
Core Tip
Core Tip: This letter expands on Khan et al’s review by emphasizing two often overlooked aspects of crush syndrome: Intraoperative vascular decision-making and psychiatric rehabilitation. We highlight the use of perfusion assessment tools and tailored anticoagulation strategies to improve limb salvage. Additionally, we advocate for early screening of post-traumatic stress disorder (PTSD), depression, and anxiety using validated tools like PTSD Checklist for DSM 5 and Patient Health Questionnaire 9. These additions aim to integrate surgical precision with trauma-informed mental health care, supporting a more holistic and outcome-focused approach to managing crush injuries, especially in disaster and high-impact trauma settings.