Extremity war injuries VIII: Sequelae of combat injuries

Romney C. Andersen, Jean Claude G D'Alleyrand, Marc F. Swiontkowski, James Robert Ficke

Research output: Contribution to journalArticle

Abstract

The 2013 Extremity War Injury symposium focused on the sequelae of combat-related injuries, including posttraumatic osteoarthritis, amputations, and infections. Much remains to be learned about posttraumatic arthritis, and there are few circumstances in which a definitive arthroplasty should be performed in an acutely injured and open joint. Although the last decade has seen tremendous advances in the treatment of combat upper extremity injuries, many questions remain unanswered, and continued research focusing on improving reconstruction of large segmental defects remains critical. Discussion of infection centered on the need for novel methods to reduce the bacterial load following the initial débridement procedures. Novel methods of delivering antimicrobial therapy and anti-inflammatory medications directly to the wound were discussed as well as the need for near real-time assessment of bacterial and fungal burden and further means of prevention and treatment of biofilm formation and the importance of animal models to test therapies discussed. Moderators and lecturers of focus groups noted the continuing need for improved prehospital care in the management of junctional injuries, identified optimal strategies for both surgical repair and/or reconstruction of the ligaments in multiligamentous injuries, and noted the need to mitigate bone mineral density loss following amputation and/or limb salvage as well as the necessity of developing better methods of anticipating and managing heterotopic ossification.

Original languageEnglish (US)
Pages (from-to)57-62
Number of pages6
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume22
Issue number1
DOIs
StatePublished - Jan 2014

Fingerprint

Extremities
Wounds and Injuries
Amputation
Heterotopic Ossification
Limb Salvage
Bacterial Load
Therapeutics
Biofilms
Infection
Focus Groups
Ligaments
Upper Extremity
Osteoarthritis
Arthroplasty
Bone Density
Arthritis
Warfare
Anti-Inflammatory Agents
Animal Models
Joints

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Extremity war injuries VIII : Sequelae of combat injuries. / Andersen, Romney C.; D'Alleyrand, Jean Claude G; Swiontkowski, Marc F.; Ficke, James Robert.

In: The Journal of the American Academy of Orthopaedic Surgeons, Vol. 22, No. 1, 01.2014, p. 57-62.

Research output: Contribution to journalArticle

Andersen, Romney C. ; D'Alleyrand, Jean Claude G ; Swiontkowski, Marc F. ; Ficke, James Robert. / Extremity war injuries VIII : Sequelae of combat injuries. In: The Journal of the American Academy of Orthopaedic Surgeons. 2014 ; Vol. 22, No. 1. pp. 57-62.
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