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Danish experience with free flaps in war wounds
Rikke Holmgaard1, Jonas Duffy, Finn Edgar Warburg
1rikkeholmgaard@gmail.com.
Danish Medical Journal
|January 5, 2016
Summary
Free flap reconstruction effectively treats war casualties with severe extremity injuries, offering satisfactory functional recovery and aesthetic outcomes. This multidisciplinary approach in Danish public hospitals proved successful in managing complex battlefield trauma.
Area of Science:
- Reconstructive Surgery
- Trauma Surgery
- Military Medicine
Background:
- War casualties present complex reconstructive challenges.
- Public hospitals in Denmark have treated soldiers with combat-related injuries.
- Experience with free flap reconstruction in this population was previously undocumented in Denmark.
Purpose of the Study:
- To describe lessons learned from treating war casualties using free flap reconstruction.
- To evaluate the outcomes of reconstructive procedures in Danish soldiers.
- To highlight the role of multidisciplinary care in managing battlefield trauma.
Main Methods:
- Retrospective review of soldiers undergoing free flap reconstruction.
- Study period: January 2006 to December 2010.
- Location: Rigshospitalet, Denmark.
Main Results:
- Nine patients with extremity fractures and soft tissue loss were treated.
- Mean time from injury to reconstruction was 13.2 days.
- One flap loss occurred, requiring revision; overall outcomes were satisfactory with low complications.
Conclusions:
- Free flap reconstruction is a viable and effective method for battlefield trauma.
- Multidisciplinary treatment combining various specialties yields encouraging results.
- Satisfactory functional and aesthetic recovery supports the use of free flaps for war-related defects.
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