Management of Mangled Extremities and Orthopaedic War Injuries

被引：15
作者：
McKinley, Todd O. [1 ]
D'Alleyrand, Jean-Claude [2 ,3 ]
Valerio, Ian [4 ,5 ,6 ]
Schoebel, Seth [2 ]
Tetsworth, Kevin [7 ]
Elster, Eric A. [3 ]
机构：
[1] Indiana Univ Sch Med, Dept Orthopaed Surg Anat & Cell Biol, Indianapolis, IN 46202 USA
[2] Uniformed Serv Univ Hlth Sci, Dept Surg, Bethesda, MD 20814 USA
[3] Uniformed Serv Univ Hlth Sci, Dept Orthopaed Traumatol, Bethesda, MD 20814 USA
[4] Ohio State Univ, Sch Med, Dept Plast Surg, Columbus, OH 43210 USA
[5] Ohio State Univ, Sch Med, Dept Orthopaed Surg, Columbus, OH 43210 USA
[6] Ohio State Univ, Sch Med, Dept Gen Surg, Columbus, OH 43210 USA
[7] Royal Brisbane Hosp, Dept Orthopaed, Brisbane, Qld, Australia
来源：
JOURNAL OF ORTHOPAEDIC TRAUMA | 2018年 / 32卷
关键词：
war injuries; wounded warriors; limb salvage; computational biology; FEMORAL-SHAFT FRACTURES; MULTIPLE ORGAN FAILURE; INFLAMMATORY RESPONSE SYNDROME; TARGETED MUSCLE REINNERVATION; PLASTIC-SURGERY CHALLENGES; HETEROTOPIC OSSIFICATION; DYSFUNCTION SYNDROME; TRAUMA PATIENTS; LIMB SALVAGE; COMBAT;
D O I：
10.1097/BOT.0000000000001121
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：
In 16 years of conflict, primarily in Iraq and Afghanistan, wounded warriors have primarily been subjected to blast type of injuries. Evacuation strategies have led to unprecedented survival rates in blast-injured soldiers, resulting in large numbers of wounded warriors with complex limb trauma. Bone and soft tissue defects have resulted in increased use of complex reconstructive algorithms to restore limbs and function. In addition, in failed salvage attempts, advances in amputation options are being developed. In this review, we summarize state-of-the-art limb-salvage methods for both soft tissue and bone. In addition, we discuss advances in diagnostic methods with development of personalized clinical decision support tools designed to optimize outcomes after severe blast injuries. Finally, we present new advances in osteointegrated prostheses for above-knee amputations.
引用
收藏
页码：S37 / S42
页数：6
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