Challenges in definitive fracture management of blast injuries

详细信息    查看全文

• 作者：Wade Gordon ; Kevin Kuhn ; Greg Staeheli…
• 关键词：Blast ; related injuries ; Mass casualty events ; Terrorism
• 刊名：Current Reviews in Musculoskeletal Medicine
• 出版年：2015
• 出版时间：September 2015
• 年：2015
• 卷：8
• 期：3
• 页码：290-297
• 全文大小：313 KB
• 参考文献：Papers of particular interest, published recently, have been highlighted as: -Of importance ?-Of major importance1.Belmont PJ et al. Combat wounds in Iraq and Afghanistan from 2005 to 2009. J Trauma Acute Care Surg. 2012;73(1):3-2.PubMed View Article
  2.Weil YA et al. Penetrating and orthopedic trauma from blast versus gunshots caused by terrorism: Israel’s National Experience. J Orthop Trauma. 2011;25(3):145-.PubMed View Article
  3.Champion HR et al. Injuries from explosions: physics, biophysics, pathology, and required research focus. J Trauma. 2009;66(5):1468-7.PubMed View Article
  4.-/div>Simmons JW et al. Mechanism of injury affects acute coagulopathy of trauma in combat casualties. J Trauma. 2011;71(1):S74-. This retrospective review of US military casualties demonstrated that despite similar ISS scores, patients injured by blast mechanism had a higher INR, more tachycardia, and a higher base deficit. This supports the concept that blast injury is a clinically distinct entity, and understanding the acute coagulopathy of trauma is key to maximizing survival and minimizing complications.PubMed View Article
  5.Doran CM et al. Feasibility of using rotational thromboelastometry to assess coagulation status of combat casualties in a deployed setting. J Trauma. 2010;69(1):S40-.PubMed View Article
  6.?-/div>Kutcher ME et al. Criteria for empiric treatment of hyperfibrinolysis after trauma. J Trauma Acute Care Surg. 2012;73(1):87-3. This useful article reviews the etiology of hyperfibrinolysis after trauma and provides empiric criteria for its diagnosis using readily available standard laboratory tests.PubMed Central PubMed View Article
  7.Ramasamy A et al. The open blast pelvis: the significant burden of management. J Bone Joint Surg (Br). 2012;94-B(6):829-5.View Article
  8.?-/div>Jansen JO et al. Early management of proximal traumatic lower extremity amputation and pelvic injury caused by improvised explosive devices (IEDs). Injury. 2012;43(7):976-. This review of complex blast injured patients provides a thorough, rational, stepwise approach to acute management. It stresses management of the systemic injury as well as the need for coordinated teamwork across surgical services.PubMed View Article
  9.Bowyer GW. Management of small fragment wounds: experience from the Afghan border. J Trauma Acute Care Surg. 1996;40(3S):S170-.View Article
  10.Bowyer GW et al. Small fragment wounds: biophysics and pathophysiology. J Trauma. 1996;40(3S):S159-4.PubMed View Article
  11.Yi C et al. Intraoperative fluoroscopic evaluation of screw placement during pelvic and acetabular surgery. J Orthop Trauma. 2014;28(1):48-6.PubMed View Article
  12.Lethaby A, et al. Pin site care for preventing infections associated with external bone fixators and pins. Cochrane Database. 2013.
  13.Friedman J et al. Transarticular K-wire fixation of critical ankle injuries at risk: a neglected “damage control-strategy. Orthopedics. 2015;38(2):122-.PubMed View Article
  14.Henry SL et al. The antibiotic bead pouch technique: the management of severe compound fractures. Clin Orthop Relat Res. 1993;295:54-2.PubMed
  15.Prasarn ML et al. Wound management of severe open fractures: antibiotic bead pouches and vacuum-assisted closure. Am J Orthop. 2009;38(11):559-3.PubMed
  16.Balsamo LH et al. Does antibiotic elution from PMMA beads deteriorate after 1-year storage? Clin Orthop Relat Res. 2007;462:195-.PubMed View Article
  17.Fleischmann et al. Vacuum sealing as treatment of soft tissue damage in open fractures. Unfallchirurg. 1993;96(9):489-2.
  18.Pollak AN et al. Use of negative pressure wound therapy with reticulated open cell foam for lower extremity trauma. J Orthop Trauma. 2008;22:S142-.PubMed View Article
  19.Hinck D et al. Use of vacuum-assisted closure negative pressure wound therapy in combat-related injuries-literature review. Mil Med. 2010;175(3):173-1.PubMed View Article
  20.Stannard JP et al. Incisional negative pressure wound therapy after high risk lower extremity fractures. J Orthop Trauma. 2012;26(1):37-2.PubMed View Article
  21.Doucet JJ et al. Combat versus civilian open tibia fractures: the effect of blast mechanism on limb salvage. J Trauma Acute Care Surg. 2011;70(5):1241-.View Article
  22.Turchin DC et al. Do foot injuries significantly affect the functional outcome in multiply injured patients? J Orthop Trauma. 1999;13(1):1-.PubMed View Article
  23.Ferreira RC et al. Long-term results of salvage surgery for severely injured feet. Foot Ankle Int. 2010;31(2):113-3.PubMed View Article
  24.Ramasamy A et al. The modern “deck slap-injury—calcaneal blast fractures from vehicle explosions. J Trauma Acute Care Surg. 2011;71(6):1694-.View Article
  25.?-/div>Ellington JK et al. The mangled foot and ankle: results from a 2-year prospective study. J Orthop Trauma. 2013;27(1):43-. In this prospective longitudinal study involving eight Level-1
• 作者单位：Wade Gordon (1)
  Kevin Kuhn (2)
  Greg Staeheli (2)
  David Dromsky (2)
  
  1. Walter Reed National Military Medical Center, Bethesda, MD, USA
  2. Naval Medical Center San Diego, San Diego, CA, USA
  
• 刊物主题：Orthopedics; Rehabilitation Medicine; Sports Medicine; Surgical Orthopedics; Minimally Invasive Surgery; Surgery;
• 出版者：Springer US
• ISSN：1935-9748

文摘

The United States military remains engaged in the longest armed conflict in this nation’s history. The majority of casualties in the global war on terror come from blast-related injuries. Multiple centers have published their experience and outcomes with these complex patients. Findings from the study of injured military personnel have implications for mass casualty events resulting from industrial accidents or terrorism in the civilian sector. This article will review the pathophysiology of blast-related injury. The authors will summarize treatment considerations, priorities, and techniques that have proven successful. Finally, the authors will discuss the incidence and management of common complications after blast-related injuries.