Citation

Frank M, Mathieu L. Acta Chir. Orthop. Traumatol. Cech. 2013; 80(3): 197-202.

Vernacular Title

Principy léčby končetinového poranění v soudobých válečných konfliktech.

Affiliation

Chirurgická klinika Lékařské fakulty Univerzity Karlovy a Fakultní nemocnice Hradec Králové

Copyright

(Copyright © 2013, Scientia Medica)

DOI

unavailable

PMID

23777944

Abstract

The extremities continue to be the most frequent sites of wounding during armed conflicts despite the change of combat tactics, soldier armour and battlefield medical support. Due to the advances in prehospital care and timely transport to the hospital, orthopaedic surgeons deal with severe and challenging injuries of the limbs. In contrast to civilian extremity trauma, the most combat-related injuries are open wounds that often have infection-related complications. Data from two recent large armed conflicts (Iraq, Afghanistan) show that extremity injuries are associated with a high complication rate, morbidity and healthcare utilization. A systematic approach that consists of sequential surgical care and good transport capabilities can reduce the complication rate of these injuries. New medical technologies have been implemented in the treatment strategy during the last decade. This article reviews the published scientific data and current opinions on combatrelated extremity injuries. Key words: extremity, combat, trauma, medical support system.

Language: cs