Soft tissue care about the knee in high-energy war injuries

Mark E. Fleming, Scott M. Tintle, Jeffrey Davila, Timothy Mickel, Anand Kumar, Romney C. Andersen

Research output: Contribution to journalArticle

Abstract

On account of the composite nature of blast injuries and high-velocity projectile wounds, combat war injuries around the knee present a significant challenge to orthopedic traumatologists and reconstructive plastic surgeons. The tremendous magnitude of soft tissue destruction and systemic illness that accompanies these injuries mandates a comprehensive and cooperative effort among trauma, vascular, orthopedic, and plastic surgeons to achieve optimal outcomes. The open wounds that accompany wartime traumatic knee injuries leave large soft tissue voids and may involve injury to the stabilizing structures around the knee. In these situations, well-vascularized soft tissue coverage of the bone, ligaments, and tendons of the knee must be achieved. Reconstruction of the open fractures and the lost or traumatized skin and soft tissue must be achieved to salvage a functional joint. Frequently, this includes the reconstruction of the stabilizing ligaments and may involve a requirement for reconstruction of the extensor mechanism of the knee. This study will review preoperative assessment, complications, and recent advances in the management of soft tissue trauma around the knee in war-injured patients treated at level 5 treatment facilities.

Original languageEnglish (US)
Pages (from-to)17-29
Number of pages13
JournalTechniques in Knee Surgery
Volume9
Issue number1
DOIs
StatePublished - Mar 2010
Externally publishedYes

Fingerprint

Knee
Wounds and Injuries
Knee Injuries
Ligaments
Blast Injuries
Open Fractures
Tendons
Orthopedics
Blood Vessels
Warfare
Joints
Bone and Bones
Skin
Therapeutics

Keywords

  • Knee injuries
  • Soft tissue care
  • War injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine

Cite this

Fleming, M. E., Tintle, S. M., Davila, J., Mickel, T., Kumar, A., & Andersen, R. C. (2010). Soft tissue care about the knee in high-energy war injuries. Techniques in Knee Surgery, 9(1), 17-29. https://doi.org/10.1097/BTK.0b013e3181d16580

Soft tissue care about the knee in high-energy war injuries. / Fleming, Mark E.; Tintle, Scott M.; Davila, Jeffrey; Mickel, Timothy; Kumar, Anand; Andersen, Romney C.

In: Techniques in Knee Surgery, Vol. 9, No. 1, 03.2010, p. 17-29.

Research output: Contribution to journalArticle

Fleming, ME, Tintle, SM, Davila, J, Mickel, T, Kumar, A & Andersen, RC 2010, 'Soft tissue care about the knee in high-energy war injuries', Techniques in Knee Surgery, vol. 9, no. 1, pp. 17-29. https://doi.org/10.1097/BTK.0b013e3181d16580
Fleming ME, Tintle SM, Davila J, Mickel T, Kumar A, Andersen RC. Soft tissue care about the knee in high-energy war injuries. Techniques in Knee Surgery. 2010 Mar;9(1):17-29. https://doi.org/10.1097/BTK.0b013e3181d16580
Fleming, Mark E. ; Tintle, Scott M. ; Davila, Jeffrey ; Mickel, Timothy ; Kumar, Anand ; Andersen, Romney C. / Soft tissue care about the knee in high-energy war injuries. In: Techniques in Knee Surgery. 2010 ; Vol. 9, No. 1. pp. 17-29.
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