Bluman Eric M, Ficke James R, Covey Dana C
Foot and Ankle Service, Department of Orthopedics, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
Foot Ankle Clin. 2010 Mar;15(1):1-21. doi: 10.1016/j.fcl.2009.11.004.
Foot and ankle trauma sustained in the Global War on Terror have unique causes and characteristics. At least one-quarter of all battle injuries involve the lower extremity. These severe lower extremity wounds require specialized early treatment. Ballistic mechanisms cause almost all injuries, and as such, most combat foot and ankle wounds are open in nature. Wounds are characteristically caused by blast mechanisms, but high velocity gunshot injuries are also common. The severe and polytraumatic nature of injuries sustained frequently call for damage control orthopaedics to be utilized. Cautious early treatment of irregular and highly exudative ballistic wounds with subatmospheric wound dressings may ease their early management.
在全球反恐战争中遭受的足踝创伤有其独特的成因和特点。所有战伤中至少四分之一涉及下肢。这些严重的下肢伤口需要专门的早期治疗。几乎所有损伤都是由弹道机制造成的，因此，大多数战斗性足踝伤口本质上都是开放性的。伤口的典型成因是爆炸机制，但高速枪伤也很常见。频繁遭受的严重和多发伤往往需要采用损伤控制骨科治疗。使用负压伤口敷料对不规则且渗出严重的弹道伤口进行谨慎的早期治疗，可能会简化其早期处理。
