Field Hospital Treatment of Blast Wounds of the Musculoskeletal System During the Yugoslav Civil War
- 1 May 2000
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Orthopaedic Trauma
- Vol. 14 (4), 278-286
- https://doi.org/10.1097/00005131-200005000-00010
Abstract
The spectrum of wounding and treatment of forty-one patients with musculoskeletal blast injuries at a U.S. military field hospital in the former Yugoslavia was reviewed. Patients underwent wound exploration, irrigation, debridement, broad-spectrum antibiotic therapy, early fracture stabilization, and appropriate reconstructive surgery. Four patients developed wound infections. Two patients died as a result of their injuries (overall mortality 5 percent). There were three below-knee amputations and five other amputations (above-knee, ankle, midtarsal, partial forefoot, and finger). Three patients sustained lumbar burst fractures from mines that exploded under their vehicles, resulting in paraplegia in one case. Our patients underwent 112 surgical procedures, an average of 2.1 per patient. Twenty-two patients (54 percent) had other injuries or conditions in addition to their orthopaedic wounds. There were wide variations in the bone and soft tissue injuries caused by detonating ordnance, and the tissue damage was qualitatively different from that caused by gunshot wounds. Early debridement, leaving wounds open, and treatment with broad-spectrum antibiotics were important factors in wound healing to allow subsequent successful reconstructive surgery in an austere field setting.Keywords
This publication has 19 references indexed in Scilit:
- Wartime Civilian InjuriesThe Journal of Trauma and Acute Care Surgery, 1997
- Management of Small Fragment WoundsThe Journal of Trauma and Acute Care Surgery, 1996
- The role of the orthopaedic surgeon in United Nations Peacekeeping Operations.The Journal of Bone & Joint Surgery, 1995
- War Wounds in the Šibenik Area during the 1991–1992 War Against CroatiaMilitary Medicine, 1995
- Treatment of Musculoskeletal Blast Wounds at a Navy Field Hospital during the Balkans WarTechniques in Orthopaedics, 1995
- In war-torn Balkans, US military medical support nears 2-year markJAMA, 1994
- Post Gulf war explosive injuries in liberated KuwaitInjury, 1993
- Injuries from antipersonnel mines: the experience of the International Committee of the Red Cross.BMJ, 1991
- Technical aspects of war wound excisionBritish Journal of Surgery, 1989
- Wound ballistics. A review of common misconceptionsJAMA, 1988