Korzinek K
Department of Orthopedics, School of Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Croatia.
Arch Orthop Trauma Surg. 1994;113(4):180-7. doi: 10.1007/BF00441828.
Reconstructive bone and joint surgery in war is discussed. Bone and joint injuries account for over 70% of all injuries, 30% including a fracture. They pose a serious medical, surgical, and public health problem. The methods described aim to restore full function to the injured extremity. War injuries incorporate severe circulatory disorders and severe soft tissue and bacterial contamination. The war surgeon is faced with defectively healed or unhealed fractures, bone and tissue defects, joint injuries, traumatic amputations, large joint contractures, and infections. Clinically, external fixators, the Ilizarov method, antibiotic prophylaxis, and a new antiseptic agent have proved highly beneficial.
本文讨论了战争中的重建性骨与关节手术。骨与关节损伤占所有损伤的70%以上，其中30%伴有骨折。它们构成了严重的医学、外科和公共卫生问题。所描述的方法旨在使受伤肢体恢复全部功能。战争伤包括严重的循环系统紊乱以及严重的软组织和细菌污染。战地外科医生面临着愈合不良或未愈合的骨折、骨与组织缺损、关节损伤、创伤性截肢、大关节挛缩以及感染等问题。临床上，外固定器、伊里扎洛夫方法、抗生素预防以及一种新型防腐剂已被证明非常有益。
