Lower Extremity Limb Salvage: Lessons Learned From 14 Years at War

被引：9

作者：

Blair, James A. ^{[1
]}

Eisenstein, Emmanuel D. ^{[1
]}

Pierrie, Sarah N. ^{[2
]}

Gordon, Wade ^{[3
]}

Owens, Johnny G. ^{[4
]}

Hsu, Joseph R. ^{[2
]}

机构：

[1] William Beaumont Army Med Ctr, Dept Orthopaed & Rehabil, 5005 N Piedras St, El Paso, TX 79902 USA

[2] Carolinas Med Ctr, Dept Orthopaed Surg, Charlotte, NC 28203 USA

[3] Walter Reed Natl Mil Med Ctr, Dept Orthopaed, Bethesda, MD USA

[4] San Antonio Mil Med Ctr, Dept Orthopaed, Clin Res Ctr, San Antonio, TX USA

来源：

JOURNAL OF ORTHOPAEDIC TRAUMA | 2016年 / 30卷

关键词：

limb salvage; amputation; IDEO; return to run; Ilizarov; circular external fixation; OPEN TIBIA FRACTURES; HIGH-ENERGY INJURIES; SOFT-TISSUE LOSS; EXTERNAL FIXATION; VASCULAR INJURY; ILIZAROV METHOD; BONE DEFECTS; COMBAT; RECONSTRUCTION; TRAUMA;

D O I：

10.1097/BOT.0000000000000669

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

American survivability during the current conflicts in Iraq and Afghanistan continues to improve, though the rate of extremity injury remains quite high. The decision to proceed with amputation versus limb salvage remains controversial. Exposure to combat wound with severe high-energy lower extremity trauma during the previous 14 years at war has incited important advances in limb salvage technique and rehabilitation.

引用

页码：S11 / S15

页数：5

共 55 条

[1] Angiographic evaluation of arterial configuration after acute tibial shortening [J].

Atbasi Z. ;

Demiralp B. ;

Kilic E. ;

Kose O. ;

Kurklu M. ;

Basbozkurt M. .

European Journal of Orthopaedic Surgery & Traumatology, 2014, 24 (8) :1587-1595

[2] Can an Integrated Orthotic and Rehabilitation Program Decrease Pain and Improve Function After Lower Extremity Trauma? [J].

Bedigrew, Katherine M. ;

Patzkowski, Jeanne C. ;

Wilken, Jason M. ;

Owens, Johnny G. ;

Blanck, Ryan V. ;

Stinner, Daniel J. ;

Kirk, Kevin L. ;

Hsu, Joseph R. .

CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 2014, 472 (10) :3017-3025

[3] The Gradual Expansion Muscle Flap [J].

Beltran, Michael J. ;

Blair, James A. ;

Rathbone, Christopher R. ;

Hsu, Joseph R. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2014, 28 (01) :E15-E20

[4] A Trial of Wound Irrigation in the Initial Management of Open Fracture Wounds [J].

Bhandari, Mohit ;

Jeray, Kyle J. ;

Petrisor, Brad A. ;

Devereaux, P. J. ;

Heels-Ansdell, Diane ;

Schemitsch, Emil H. ;

Anglen, Jeff ;

Della Rocca, Gregory J. ;

Jones, Clifford ;

Kreder, Hans ;

Liew, Susan ;

McKay, Paula ;

Papp, Steven ;

Sancheti, Parag ;

Sprague, Sheila ;

Stone, Trevor B. ;

Sun, Xin ;

Tanner, Stephanie L. ;

Tornetta, Paul, III ;

Tufescu, Ted ;

Walter, Stephen ;

Guyatt, Gordon H. .

NEW ENGLAND JOURNAL OF MEDICINE, 2015, 373 (27) :2629-2641

[5] Masquelet Technique for Reconstruction of Osseous Defects in a Gunshot Fracture of the Proximal Thigh-A Case Study [J].

Bieler, Dan ;

Franke, Axel ;

Willms, Arnulf ;

Hentsch, Sebastian ;

Kollig, Erwin .

MILITARY MEDICINE, 2014, 179 (09) :E1053-E1058

[6] Return to Duty After Integrated Orthotic and Rehabilitation Initiative [J].

Blair, James A. ;

Patzkowski, Jeanne C. ;

Blanck, Ryan V. ;

Owens, Johnny G. ;

Hsu, Joseph R. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2014, 28 (04) :E70-E74

[7] Functional Rehabilitation With a Foot Plate Modification for Circular External Fixation [J].

Blair, James A. ;

Owens, Johnny G. ;

Saucedo, Joey ;

Hsu, Joseph R. .

FOOT & ANKLE INTERNATIONAL, 2013, 34 (06) :890-897

[8] An analysis of outcomes of reconstruction or amputation of leg-threatening injuries [J].

Bosse, MJ ;

MacKenzie, EJ ;

Kellam, JF ;

Burgess, AR ;

Webb, LX ;

Swiontkowski, MF ;

Sanders, RW ;

Jones, AL ;

McAndrew, MP ;

Patterson, BM ;

McCarthy, ML ;

Travison, TG ;

Castillo, RC .

NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (24) :1924-1931

[9] Microbiology and injury characteristics in severe open tibia fractures from combat [J].

Burns, Travis C. ;

Stinner, Daniel J. ;

Mack, Andrew W. ;

Potter, Benjamin K. ;

Beer, Rob ;

Eckel, Tobin T. ;

Possley, Daniel R. ;

Beltran, Michael J. ;

Hayda, Roman A. ;

Andersen, Romney C. ;

Keeling, John J. ;

Frisch, Harold M. ;

Murray, Clinton K. ;

Wenke, Joseph C. ;

Ficke, James R. ;

Hsu, Joseph R. .

JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2012, 72 (04) :1062-1067

[10] Does the Zone of Injury in Combat-Related Type III Open Tibia Fractures Preclude the Use of Local Soft Tissue Coverage? [J].

Burns, Travis C. ;

Stinner, Daniel J. ;

Possley, Daniel R. ;

Mack, Andrew W. ;

Eckel, Tobin T. ;

Potter, Benjamin K. ;

Wenke, Joseph C. ;

Hsu, Joseph R. .

JOURNAL OF ORTHOPAEDIC TRAUMA, 2010, 24 (11) :697-703

← 1 2 3 4 5 6 →