Τίτλος:
Gunshot and blast injuries of the extremities: a review of 45 cases
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Gunshot wounds and blast injuries constitute a major public health problem, as the increasing availability of firearms and explosives in conjunction with increasing violence in the city setting have brought this reality into civilian life. Extremities are most commonly involved; therefore, orthopedic surgeons should be trained to manage these types of injuries. Complete and accurate assessment of the injury itself is of great importance, as it will determine the severity and the risk of patients. High-risk injuries from missiles and injuries from explosions are associated with moderate or poor outcomes, major complications, and increased need for multiple surgical procedures. On the other hand, low-risk injuries frequently present optimal results and rather low morbidity. The role of microsurgery is essential, especially in the high- and very high-risk injuries, since complex and multiple reconstructions have to be performed, which include the utilization of free flaps, nerve grafts, and tendon transfers. © 2018, Springer-Verlag France SAS, part of Springer Nature.
Συγγραφείς:
Ignatiadis, I.A.
Mavrogenis, A.F.
Igoumenou, V.G.
Polyzois, V.D.
Tsiampa, V.A.
Arapoglou, D.K.
Spyridonos, S.
Περιοδικό:
EUROPEAN JOURNAL OF ORTHOPAEDIC SURGERY AND TRAUMATOLOGY
Εκδότης:
Springer-Verlag France
Λέξεις-κλειδιά:
Article; blast injury; clinical article; clinical outcome; compartment syndrome; disease severity; explosion; female; free tissue graft; gangrene; gunshot injury; human; limb injury; male; microsurgery; missile wound; morbidity; nerve graft; osteomyelitis; patient risk; postoperative complication; priority journal; retrospective study; surgical technique; tendon transfer; amputation; blast injury; classification; follow up; gunshot injury; injuries; injury scale; lower limb; microsurgery; pathophysiology; reimplantation; reoperation; treatment outcome; upper limb, Amputation; Blast Injuries; Female; Follow-Up Studies; Humans; Lower Extremity; Male; Microsurgery; Reoperation; Replantation; Retrospective Studies; Trauma Severity Indices; Treatment Outcome; Upper Extremity; Wounds, Gunshot
DOI:
10.1007/s00590-018-2350-4
