[Treatment of multiple fractures in a patient wounded by aircraft bombing].
BACKGROUND
Aircraft cluster bombs can cause severe fractures characterized by extensive destruction of affected tissues and organs.


METHODS
We present the methods and results of treatment of multiple fractures (left supracondilar humeral fracture, comminuted fracture of the distal right tibia, fracture of right trochanter major without dislocation and fracture of the right second metacarpal bone) in a 24-year old soldier after multiple wounding by a cluster bomb. After short pre-operative preparation a surgical debridement of all wounds was done in general anaesthesia and the fractures of the humerus and tibia were stabilized with the Mitkovic-type external fixator after adequate reposition. For the reconstruction of bone defect of the tibia we used the method of bone transport using the Ilizarov external fixator.


CONCLUSIONS
Radical wound debridement, abundant rinsing, leaving the wound open, administration of antibiotics and antitetanus immunization, external fixation and early reconstruction of soft tissue and bone defects are the basic elements of the treatment of serious fractures caused by war injuries and aimed at saving the extremities.
Golubovic
Zoran
Z
Stojiljković
Predrag
P
Mitković
Milorad
M
Trenkić
Srbobran
S
Vukasinović
Zoran
Z
Lesic
Aleksandar
A
Kosutić
Milomir
M
Milić
Dragan
D
Najman
Stevo
S
Golubović
Ivan
I
Visnjić
Aleksandar
A
D000328:Adult; D001753:Blast Injuries / Q000473:pathology*; D005121:Extremities / Q000293:injuries*; D050723:Fractures, Bone / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008889:Military Personnel; D009104:Multiple Trauma / Q000473:pathology / Q000601:surgery*; D019637:Orthopedic Procedures / Q000379:methods; D014857:Warfare; D055815:Young Adult