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Armed Conflict Injuries to the Extremities: A Treatment by James R. Ficke, Anthony E. Johnson (auth.), Alexander

By James R. Ficke, Anthony E. Johnson (auth.), Alexander Lerner, Michael Soudry (eds.)

Modern guns and high-energy injuries inflict devastating harm to delicate tissue and bone. therefore, either basic remedy and overdue limb reconstruction current a tough surgical problem. This booklet is designed to satisfy the ongoing have to re-learn the foundations of therapy of complicated conflict accidents to the extremities so as to reduce post-traumatic and post-treatment problems and to optimize useful restoration.

Most of the chapters within the publication are in line with the original adventure received within the remedy of army group of workers who've suffered smooth wrestle trauma and civilian sufferers of terror assaults at a unmarried, huge point 1 trauma middle. the rest chapters current the event of top foreign specialists within the box of trauma and reconstructive surgical procedure. A staged remedy protocol is gifted, starting from fundamental harm regulate, together with using exterior fracture stabilization, via to definitive useful limb reconstruction by way of a number of inner and exterior fracture fixation tools. The association of scientific relief, anesthesiology, diagnostic imaging, and an infection prophylaxis additionally obtain distinct consciousness. The administration of power problems reminiscent of behind schedule unions, non-unions, and osteomyelitis is reviewed, and controversies in limb salvage are thought of. fundamental and overdue limb amputations are totally mentioned, andaspecial bankruptcy is dedicated to the hard obstacle of limb salvage as opposed to amputation within the therapy of limbs in danger.

This well-illustrated booklet may be of price either to newcomers and to specialists within the box of trauma, together with orthopedic surgeons, plastic surgeons, vascular surgeons, and army clinical team of workers.

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1007/978-3-642-16155-1_2, © Springer-Verlag Berlin Heidelberg 2011 21 22 pressures as great as 25 tons per square foot, which ejects the bullet and is responsible for its kinetic energy and devastating potential [3, 13]. The amount of kinetic energy delivered by the ­hitting body (projectile, bullet, shrapnel…) at the time of impact depends mainly upon the squared velocity (E = ½MV2) and in a lesser degree to the projectile body mass. The longer the range, the lower the velocity is at impact [4].

Ann. Surg. : Prehospital advances in the management of severe penetrating trauma. Crit. Care Med. : Emerging therapies in traumatic hemorrhage control. Curr. Opin. Crit. : Transparent and open discussion of errors does not increase malpractice risk in trauma patients. Ann. Surg. : An evaluation of tactical combat casualty care intervention in a combat environment. J. Am. Coll. Surg. : Impact of extremity amputation on combat wounded undergoing exploratory laparotomy. J. Trauma Inj. Infect. Crit.

Trauma Inj. Infect. Crit. : Orthopaedic war injuries: recent developments in treatment and research. AAOS Instr. Course Lect. : Level I center triage and mass casualties. Clin. Orthop. Relat. Res. : Understanding combat casualty care statistics. J. Trauma Inj. Infect. Crit. : Guidelines for the prevention of infection after combat-related injuries. J. Trauma Inj. Infect. Crit. : Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann. Surg. : Prehospital advances in the management of severe penetrating trauma.

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