Armed Conflict Injuries to the Extremities: A Treatment Manual

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Alexander Lerner, Michael Soudry
Springer Science & Business Media, Apr 28, 2011 - Medical - 413 pages
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This book is designed to meet the continued need to re-learn the principles of treatment of complex war injuries to the extremities in order to minimize post-traumatic and post-treatment complications and optimize functional recovery. Most of the chapters are based on the unique experience gained in the treatment of military personnel who have suffered modern combat trauma and civilian victims of terror attacks at a single, large level 1 trauma center. The remaining chapters present the experience of leading international authorities in trauma and reconstructive surgery. A staged treatment protocol is presented, ranging from primary damage control through to definitive functional limb reconstruction. The organization of medical aid, anesthesiology, diagnostic imaging, infection prophylaxis, and management of complications are reviewed, and a special chapter is devoted to the challenging dilemma of limb salvage versus amputation in the treatment of limbs at risk.

 

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Contents

Organization of Urgent Medical Aid Including Mass Casualty and Triage
1
Wound Ballistics and Tissue Damage
21
Damage Control Orthopaedics
35
Crush Injury of the Limbs and Acute Mechanical MuscleCrush Compartment Syndrome
51
Anesthesia and Intensive Care of the Patient with Severe Extremity Trauma
57
Hemotransfusion in Combat Trauma
81
Diagnostic Imaging in Combat Trauma
95
Tissue Debridement
115
Tissue Coverage After War Trauma
195
Definitive Bone Fixation and Reconstruction Conversion from Temporary External Fixation to Internal Fixation Methods
215
Definitive Skeletal Reconstruction Conversion to the Ilizarov Method
232
War Injuries of the Hand
279
Foot Surgery in War Trauma
294
Limb Salvage Versus Amputation The Dilemma
319
Amputation in Combat Trauma
334
Delayed Union and Nonunions
355

Primary External Fixation
133
Prevention of Infection and Antibiotic Use in the Management of Armed Conflict Injuries to the Extremities
163
Vascular Trauma to the Limbs
173
Peripheral Nerve Injury
183
Osteomyelitis
375
Chronic Pain Subsequent to Armed Conflict Injuries to the Extremities
390
Index
407
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About the author (2011)

Alexander Lerner is working at the Rambam Medical Center in Haifa, Israel, which is specialised in the treatment of military and civilian casualties. He is an orthopaedic surgeon, member in a number of international learned societies, has lectured worldwide and has heavily published in international journals.

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