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Research Article Open access CC BY 4.0

Management of War Limb Injuries in the 21st Century

A. Katsaras

Asian Journal of Medicine and Health · pp. 1–11 · Published 8 Apr 2021

10.9734/ajmah/2021/v19i330308

Abstract

Background: War trauma includes some of the most complex injury entities that require complex techniques, often in austere settings. After body armor use and advanced resuscitation and evacuation plans, limb injuries and salvage has increased. In this article, we review the recent war injured care, regarding limb injuries. Methods: Retrospective literature search in PubMed was conducted for articles after 2010, regarding initial limb salvage and advanced reconstruction after evacuation. 43 published articles and manuals were included in the review, so that the latest protocols be interpreted. Results: Protocols of war surgery and extremity injuries have changed in modern warfare, as high energy weapons often cause severe limb injuries affecting multiple tissues. Of utmost importance is the thorough debridement and staged reconstruction, after optimization of injured tissue condition. In priority series, vascular, bony, nerve and soft tissue injuries have to be addressed. Reconstruction techniques must be adapted to each injury. Conclusion: As weapons evolve and war conduction changes, medical care must constantly evolve, too, in order to meet the standard of care required to achieve extremity salvage and good functionality.

Limb injury extremity war trauma tissue reconstruction combat injury

References (15)

  1. 1 The Military Extremity Trauma Amputation/Limb Salvage (METALS) Study [DOI]
  2. 2 Recombinant Human Bone Morphogenetic Protein-2: A Randomized Trial in Open Tibial Fractures Treated with Reamed Nail Fixation [DOI]
  3. 3 The clinical, electrophysiologic, and surgical characteristics of peripheral nerve injuries caused by gunshot wounds in adults: a 40-year experience [DOI]
  4. 4 Surgical repair of ulnar nerve lesions caused by gunshot and shrapnel: results in 407 lesions [DOI]
  5. 5 The Use of Temporary Vascular Shunts in Military Extremity Wounds: A Preliminary Outcome Analysis With 2-Year Follow-Up [DOI]
  6. 6 Extremity amputation: how to face challenging problems in a precarious environment [DOI]
  7. 7 Long-term follow-up and amputation-free survival in 497 casualties with combat-related vascular injuries and damage-control resuscitation [DOI]
  8. 8 Soft tissue coverage of combat wounds.
  9. 9 Trends in Demographics and Surgical Treatment of Weapon‐Related Limb Injuries Over Two Decades in a Resource‐Scarce Setting [DOI]
  10. 10 Description of a Technique for Vacuum-Assisted Deep Drains in the Management of Cavitary Defects and Deep Infections in Devastating Military and Civilian Trauma [DOI]
  11. 11 Blast-Induced Lower Extremity Fractures With Arterial Injury: Prevalence and Risk Factors for Amputation After Initial Limb-Preserving Treatment [DOI]
  12. 12 Fracture union rates across a century of war: a systematic review of the literature [DOI]
  13. 13 A modern combat trauma [DOI]
  14. 14 War and Gunshot Wound Injuries of the Peripheral Nerves [DOI]
  15. 15 Retrospective Study of Surgical Repair of Gunshot Injuries of Peripheral Nerves. [DOI]

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