title: Surgical management of combat-related upper extremity injuries.
abstract: This review presents the current surgical management of combat-related upper extremity injuries during the acute phase. The strategy consists of saving the life, saving the limb and retaining function. Surgical tactics are based on damage control orthopaedics techniques of haemorrhage control, wound debridement, and temporary bone stabilization prior to evacuation out of the combat zone. Features of the definitive management of local casualties in battlefield medical facilities are also discussed. In this situation, reconstructive procedures have to take into account the limited resources and operational constraints.
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France. Electronic address: laurent.mathieu69@yahoo.fr.
authors.forename: L
authors.initials: L
authors.lastname: Mathieu
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
authors.forename: A
authors.initials: A
authors.lastname: Bertani
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Saint-Anne Military Hospital, 2, boulevard Saint-Anne, 83800 Toulon cedex 09, France.
authors.forename: C
authors.initials: C
authors.lastname: Gaillard
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
authors.forename: P
authors.initials: P
authors.lastname: Chaudier
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Bégin Military Hospital, 69, avenue de Paris, 94160 Saint-Mandé, France.
authors.forename: D
authors.initials: D
authors.lastname: Ollat
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Percy Military Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
authors.forename: B
authors.initials: B
authors.lastname: Bauer
authors.affiliation: Department of Orthopaedic and Trauma Surgery, Percy Military Hospital, 101, avenue Henri-Barbusse, 92140 Clamart, France.
authors.forename: S
authors.initials: S
authors.lastname: Rigal
mesh_terms: D000671:Amputation, Surgical; D001186:Artificial Limbs; D001808:Blood Vessels / Q000637:transplantation; D016025:Bone Transplantation; D003646:Debridement; D016267:External Fixators; D005593:Fracture Fixation, Internal; D006470:Hemorrhage / Q000517:prevention & control; D006489:Hemostatic Techniques / Q000295:instrumentation; D006801:Humans; D023821:Limb Salvage; D008887:Military Medicine; D059348:Peripheral Nerve Injuries / Q000601:surgery; D013524:Surgical Flaps; D007507:Therapeutic Irrigation; D034941:Upper Extremity / Q000293:injuries* / Q000601:surgery*; D014857:Warfare
keywords: Chirurgie de guerre; Damage control Orthopaedic; Damage control orthopédique; Hand; Main; Membre supérieur; Trauma; Traumatisme; Upper extremity; War surgery