Sinha V K, Anand S
Senior Advisor, Surgery & Orthopaedics, Military Hospital, Kirkee.
Reader, Department of Surgery; AFMC, Pune-40.
Med J Armed Forces India. 2010 Oct;66(4):342-6. doi: 10.1016/S0377-1237(10)80014-0. Epub 2011 Jul 21.
The extremities remain the most common sites of wounding in combat, and are often a combination of injures to soft tissues, bones, vessels and nerves. While these injuries are managed only after life threatening injuries are tackled first, precise evaluation and prompt management strategies to attain optimal outcome remain the goals of treatment. With advancements in tourniquet science, broader spectrum antibiotics, use of negative pressure wound therapy, easier options for fracture stabilization and continuously evolving reconstructive procedures have all increased the tools available to the surgeon to salvage severely damaged limbs.