Combat versus civilian open tibia fractures: the effect of blast mechanism on limb salvage.

@article{Doucet2011CombatVC,
  title={Combat versus civilian open tibia fractures: the effect of blast mechanism on limb salvage.},
  author={Jay J. Doucet and Michael R. Galarneau and Bruce M Potenza and Vishal Bansal and Jeanne G. Lee and Alexandra K. Schwartz and Amber L. Dougherty and Judy L. Dye and Peggy Hollingsworth-Fridlund and Dale A Fortlage and Raul Coimbra},
  journal={The Journal of trauma},
  year={2011},
  volume={70 5},
  pages={
          1241-7
        }
}
BACKGROUND This study compares open tibia fractures in US Navy and US Marine Corps casualties from the current conflicts with those from a civilian Level I trauma center to analyze the effect of blast mechanism on limb-salvage rates. METHODS Data from the 28,646 records in the University of California San Diego Trauma Registry from 1985 to 2006 was compared with 2,282 records from the US Navy and US Marine Corps Combat Trauma Registry Expeditionary Medical Encounter Database for the period of… 
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55 Citations
Background Citations
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Methods Citations
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Results Citations
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55 Citations

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Management and outcome of 597 wartime penetrating lower extremity arterial injuries from an international military cohort.
Comparing the performance of different open injury scores in predicting salvage and amputation in type IIIB open tibia fractures
TLDR
The performance of the GHS was superior to MESS, LSI, orthopaedic trauma association-open fracture classification and OTA-OFC in this study, since it was developed for type IIIB injuries and includes the ‘grey zone’, where decisions need to be undertaken on a case to case basis.
Changing paradigms in lower extremity reconstruction in war-related injuries
TLDR
Reconstruction modalities based on the location, depth, and severity of wounds, as well as mechanism of injury, concomitant vascular injuries and open fractures, choice of flap, timing of definitive reconstruction, and complications are analyzed to identify the mainstay of treatment in recent conflicts.
Comparison of military and civilian popliteal artery trauma outcomes.
A comparison of health outcomes for combat amputee and limb salvage patients injured in Iraq and Afghanistan wars
TLDR
Early amputation was associated with reduced rates of adverse health outcomes relative to late amputation or LS in the short term, and most evident was that late amputees had the poorest physical and psychological outcomes.
Association of Specific Lower Extremity Injuries With Delayed Amputation.
TLDR
Odds of delayed amputation increased substantially with specific injury combinations, and these findings may guide clinical decision-making in the acute care period.
Open Fracture Care During War: Opportunities for Research
TLDR
Preclinical and clinical translational studies on the reduction of the rates of infection and other limb morbidities are needed to address the acute care of combat extremity wounds.
The Effects of Cross-Border Transport on Patients With Tibia Fractures.
Soft tissue coverage of war extremity injuries: the use of pedicle flap transfers in a combat support hospital
TLDR
Pedicle flap transfers provide simple and safe coverage for war extremity injuries in this challenging environment whatever the injury mechanism, and can be achieved in CSHs for local nationals.
A Comparison of Four-Year Health Outcomes following Combat Amputation and Limb Salvage
Little research has described the long-term health outcomes of patients who had combat-related amputations or leg-threatening injuries. We conducted retrospective analysis of Department of Defense…
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