Varma Rohit, Arora Naresh Chander, Rai Sanjay, Chaudhary Amit, Wani Sunit
Acta Orthop Belg. 2019 Mar;85(1):21-34.
Landmine blast injuries are high velocity shattering injuries that produce ghastly and gory wounds, presenting a dilemma to the treating surgeon, especially when the literature on this subject is limited. The aim of the present study is to enlist various surgical procedures that can be explored to treat such complex injuries. 60 cases having varied degrees of involvement of the lower limb from mine blasts were managed. Surgical treatment was tailored to the individual requirement depending on the extent and severity of injury. Serial surgical wound debridement was an integral part of all these procedures. Limb length preservation was possible in 70% cases. A combination of surgical approaches and procedures from fixation to different types of amputations can be employed for treating mine blast injuries to maximise residual limb function.
地雷爆炸伤是高速粉碎性损伤，会造成可怕而血腥的伤口，给主治外科医生带来了难题，尤其是关于这一主题的文献有限时。本研究的目的是列出各种可用于治疗此类复杂损伤的外科手术方法。对60例下肢因地雷爆炸而有不同程度损伤的病例进行了处理。根据损伤的范围和严重程度，手术治疗是根据个体需求定制的。连续的外科伤口清创术是所有这些手术的一个组成部分。70%的病例能够保留肢体长度。从固定到不同类型截肢的一系列手术方法和程序可用于治疗地雷爆炸伤，以最大限度地提高残肢功能。
