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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bone Remodeling and Repair01:31

Bone Remodeling and Repair

Osteoclasts are cells responsible for bone resorption and remodeling. They originate from hematopoietic progenitor cells present in the bone marrow. Numerous progenitor cells fuse to form multinucleated cells, each with 10-20 nuclei. A single osteoclast has a diameter of 150 to 200 µM. These cells have ruffled borders that break down the underlying bone tissue and release minerals such as calcium into the blood in bone resorption. Osteoclasts cling to bones with their ruffled edges during bone...

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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
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The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Evolution of orthopaedic reconstructive care.

Mark E Fleming1, J Tracy Watson, Robert J Gaines

  • 1Department of Orthopaedics and Rehabilitation, Walter Reed National Military Medical Center, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|August 7, 2012
PubMed
Summary
This summary is machine-generated.

Service members face evolving combat injuries, including complex blast injuries from improvised explosive devices during dismounted operations. Optimizing reconstruction is crucial due to limited tissue availability in these polytraumatized patients.

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Published on: August 4, 2022

Area of Science:

  • Military medicine
  • Trauma surgery
  • Blast injury research

Background:

  • Combat operations in Iraq and Afghanistan have led to evolving injury patterns in service members.
  • A shift to counterinsurgency and dismounted operations increased exposure to improvised explosive devices (IEDs).
  • This resulted in a new injury classification: dismounted complex blast injury (DCBI).

Purpose of the Study:

  • To describe the characteristics of dismounted complex blast injury.
  • To highlight the challenges in treating these polytraumatized patients.
  • To emphasize the need for optimized reconstructive techniques.

Main Methods:

  • Review of injury patterns in service members from recent combat deployments.
  • Analysis of casualty data associated with improvised explosive device incidents.
  • Clinical observation of patients with complex blast injuries.

Main Results:

  • Dismounted complex blast injury involves multiple extremity trauma, often including bilateral transfemoral amputations and upper extremity damage.
  • Associated injuries frequently include pelvic, perineal, genital, head, abdominal, and genitourinary trauma.
  • Patients present with significant polytrauma, complicating treatment and reconstruction.

Conclusions:

  • Dismounted complex blast injury represents a distinct and severe pattern of combat-related trauma.
  • Effective management requires a multidisciplinary approach addressing polytrauma.
  • Optimizing tissue reconstruction is essential due to potential tissue deficits.