Limb Salvage of Severely Injured Extremities After Military Wounds

Severely wounded extremities following battlefield injuries present a surgical dilemma to military surgeons of whether to attempt salvage or amputate the limb. There are many considerations to be made, including local and systemic patient factors, other wounded personnel and logistical constraints....

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Bibliographic Details
Published in:BMJ military health 2011-09, Vol.157 (Suppl 3), p.S315-S323
Main Authors: Brown, Kate V, Henman, P, Stapley, S, Clasper, JC
Format: Article
Language:English
Subjects:
Afghan Campaign 2001
Artificial Limbs
Child
Decision Making
Extremities - blood supply
Extremities - injuries
Humans
Limb Salvage
Male
Trauma Severity Indices
Warfare
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Summary:Severely wounded extremities following battlefield injuries present a surgical dilemma to military surgeons of whether to attempt salvage or amputate the limb. There are many considerations to be made, including local and systemic patient factors, other wounded personnel and logistical constraints. Attempts have been made previously to form objective scoring criteria so as to remove possible subjectivity in this decision-making process. Furthermore, paediatric patients present their own particular dilemmas. This paper examines these various matters and, with contemporaneous evidence, presents recommendations for management.
ISSN:0035-8665
2633-3767
2052-0468
2633-3775
DOI:10.1136/jramc-157-03s-11