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Management of Mangled Extremities and Orthopaedic War Injuries
Todd O McKinley1, Jean-Claude DʼAlleyrand2,3, Ian Valerio4
1Department of Orthopaedic Surgery, Anatomy and Cell Biology Indiana University School of Medicine, Indianapolis, IN.
Journal of Orthopaedic Trauma
|February 21, 2018
Summary
Wounded warriors with complex limb trauma from blast injuries benefit from advanced limb-salvage techniques and innovative prosthetics. This review covers state-of-the-art treatments for bone and soft tissue defects, improving outcomes for military personnel.
Area of Science:
- Orthopedic Surgery
- Trauma Surgery
- Reconstructive Surgery
Background:
- 16 years of conflict in Iraq and Afghanistan resulted in numerous blast-related injuries.
- Improved evacuation strategies have led to higher survival rates for wounded warriors.
- Complex limb trauma, including bone and soft tissue defects, is a significant challenge.
Purpose of the Study:
- To review current limb-salvage methods for soft tissue and bone defects.
- To discuss advancements in diagnostic tools and personalized decision support for blast injuries.
- To present new developments in osteointegrated prostheses for amputations.
Main Methods:
- Literature review of state-of-the-art limb-salvage techniques.
- Discussion of diagnostic advancements and clinical decision support tools.
- Overview of emerging prosthetic technologies for amputees.
Main Results:
- Effective limb-salvage strategies exist for complex bone and soft tissue defects.
- Personalized clinical decision support tools are being developed to optimize outcomes.
- Innovations in osteointegrated prostheses offer improved function for above-knee amputations.
Conclusions:
- Advanced reconstructive algorithms and salvage techniques are crucial for managing complex limb trauma in wounded warriors.
- Diagnostic and decision support tools aim to personalize treatment and improve functional recovery.
- New prosthetic technologies, like osteointegrated implants, represent significant progress in amputation management.
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