Mathieu L, Bertani A, Gaillard C, Chaudier P, Ollat D, Bauer B, Rigal S
Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
Department of Orthopaedic and Trauma Surgery, Desgenettes Military Hospital, 108, boulevard Pinel, 69275 Lyon cedex 03, France.
Chir Main. 2014 Jun;33(3):174-82. doi: 10.1016/j.main.2014.02.003. Epub 2014 Apr 18.
This review presents the current surgical management of combat-related upper extremity injuries during the acute phase. The strategy consists of saving the life, saving the limb and retaining function. Surgical tactics are based on damage control orthopaedics techniques of haemorrhage control, wound debridement, and temporary bone stabilization prior to evacuation out of the combat zone. Features of the definitive management of local casualties in battlefield medical facilities are also discussed. In this situation, reconstructive procedures have to take into account the limited resources and operational constraints.
本综述介绍了急性期与战斗相关的上肢损伤的当前手术治疗方法。该策略包括挽救生命、保住肢体和保留功能。手术策略基于损伤控制骨科技术，即在撤离战区之前进行出血控制、伤口清创和临时骨固定。还讨论了战场医疗设施中当地伤员确定性治疗的特点。在这种情况下，重建手术必须考虑到资源有限和操作限制。
