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Review
Lower extremity reconstruction for limb salvage and functional restoration - The Combat experience.
- Ian McCulloch and Ian Valerio.
- The Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street, WACC 435, Boston, MA 02114, USA.
- Clin Plast Surg. 2021 Apr 1; 48 (2): 349-361.
AbstractEvolution in extremity injury treatment often occurs during major conflicts, with lessons learned applied and translated among military and civilian settings. In recent periods of war, improvements in protective equipment, in-theater damage control resuscitation/surgery, delivery of antibiotics locally/systemically, and rapid evacuation to higher levels of medical care capabilities have greatly improved combat casualty survivability rates. Additionally, widespread application of lower extremity tourniquets also has prevented casualties from exsanguination, thus reducing hemorrhagic-related deaths. Secondary to these, a high number of combat casualties suffering lower extremity traumatic injuries have presented for functional limb reconstruction and restoration as well as residual limb care.Published by Elsevier Inc.
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