Combat-related upper extremity injuries: Surgical management specificities on the theatres of operations |
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| Affiliation: | 1. Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France;2. Department of Orthopaedic and Trauma Surgery, Saint-Anne Military Hospital, 2, boulevard Saint-Anne, 83800 Toulon cedex 09, France;3. Department of Orthopaedic and Trauma Surgery, Bégin Military Hospital, 69, avenue de Paris, 94160 Saint-Mandé, France;4. Department of Orthopaedic and Trauma Surgery, Percy Military Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France;1. Division of Vascular and Endovascular Surgery, AC Camargo Cancer Center, São Paulo, Brazil;2. Division of Head and Neck Surgery, AC Camargo Cancer Center, São Paulo, Brazil;1. Division of Vascular Surgery, Walter Reed National Military Medical Center, Bethesda, MD;2. Division of Vascular Surgery, Dwight D Eisenhower Army Medical Center, Fort Gordon, GA;3. Department of Clinical Investigations, Dwight D Eisenhower Army Medical Center, Fort Gordon, GA;1. Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA;2. University of Amsterdam Orthopaedic Residency Program (PGY 4), Academic Medical Center, Amsterdam, The Netherlands;1. Department of Mechanical and Materials Engineering, Queen’s University, Kingston, Canada;2. Department of Diagnostic Radiology, Memorial University, St. John’s, Canada;3. Department of Orthopaedic Surgery, Queen’s University, Kingston, Canada |
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| Abstract: | ![]()
This review presents the current surgical management of combat-related upper extremity injuries during the acute phase. The strategy consists of saving the life, saving the limb and retaining function. Surgical tactics are based on damage control orthopaedics techniques of haemorrhage control, wound debridement, and temporary bone stabilization prior to evacuation out of the combat zone. Features of the definitive management of local casualties in battlefield medical facilities are also discussed. In this situation, reconstructive procedures have to take into account the limited resources and operational constraints. |
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| Keywords: | Upper extremity Hand Trauma War surgery Damage control Orthopaedic Membre supérieur Main Traumatisme Chirurgie de guerre |
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