title: Prevention and treatment of infected foot and ankle wounds sustained in the combat environment.
abstract: Combat injuries to the foot and ankle are challenging to treat due to frequent high-energy mechanisms, environmental contamination, and soft tissue and bony damage. Prevention and treatment of infections in injuries to the foot and ankle are critical to achieving the goals of tissue healing and restoration of function. The guidelines for treatment of these foot and ankle injuries are similar to those in place for civilians; however, allowances must be made for the realities of combat including an often austere environment, the need for evacuation, and limitations on resources available for treatment.
authors.affiliation: Brooke Army Medical Center (BAMC), Fort Sam Houston, TX 78234, USA.
authors.forename: Brendan D
authors.initials: BD
authors.lastname: Masini
authors.forename: Clinton K
authors.initials: CK
authors.lastname: Murray
authors.forename: Joseph C
authors.initials: JC
authors.lastname: Wenke
authors.forename: Joseph R
authors.initials: JR
authors.lastname: Hsu
mesh_terms: D016512:Ankle Injuries / Q000150:complications / Q000601:surgery; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D003646:Debridement / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D018409:Foot Injuries / Q000150:complications / Q000601:surgery; D005597:Fractures, Open / Q000150:complications / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000150:complications / Q000601:surgery*; D008297:Male; D008887:Military Medicine / Q000592:standards / Q000639:trends; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D017695:Soft Tissue Injuries / Q000150:complications / Q000601:surgery; D013530:Surgical Wound Infection / Q000517:prevention & control / Q000628:therapy*; D016896:Treatment Outcome; D014857:Warfare; D014945:Wound Healing / Q000502:physiology; D014946:Wound Infection / Q000209:etiology / Q000517:prevention & control* / Q000628:therapy*
chemical_list: D000900:Anti-Bacterial Agents