Abstract
Presented are the results of primary surgical treatment of war injuries of the foot
in 250 patients wounded in the territory of former Yugoslavia in the period June 1991–October
1995. Total number of feet treated was 275. Aetiologically, the most frequent injuries
were those inflicted by the effect of mine blasts (65.2%) and by bullets from firearms
(30.8%). Injuries to a single foot were present in 140 (56.0%), combined injuries
in 107 (42.8%) and associated with burn injuries in three (1.2%) patients. Soft tissue
injuries were present in 25 (9.1%) and injuries to bone structures and joints in 250
(90.9%) feet. Injuries resulting from solid blasts were found in nine (3.2%) feet.
Postoperative bone fragment stabilization was required in 115 (41.8%) feet. Stabilization
was by plaster of Paris in 87 (75.6%) and by external fixation in 23 (20.0%) feet.
Amputations were performed in 73 (26.5%) feet. Covering of soft tissue and bone defects
was required in 84 (33.6%) patients.
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References
Jovanović Z. Povrede zglobova, Ratna hirurgija, Vojnoizdavački zavod, Beograd 1980, p. 389.
- Management of gunshot fractures of the extremities.J. Trauma. 1996; 40: 193
- Gunshot wounds: a historical perspective.Military Medicine. 1984; 149: 301
- Field surgery on a future conventional battlefield: strategy and wound management.Ann. R. Coll. Surg. Engl. 1991; 73: 13
- War wounds of bones and external fixation.Injury. 1994; 25: 211
- Penetrating missile injuries in the Gulf war 1991.Br. J. Surg. 1991; 78: 1102
- The Falklands War: army field surgical experience.Ann. R. Coll. Surg. Engl. 1983; 65: 281
- Early management of battle casualties in Vietnam.Arch. Surg. 1968; 97: 1
Rowley ID. War wounds with fractures: a guide to surgical management. International committee of the Red Cross, Geneva, Switzerland. 1996; 11
- Orthopaedic Aspects of War wounds in South Vietnam.J. Bone Jt. Surg. 1969; 51: 112
- The orthopaedics consequences of civil disturbance in North Ireland.J. Bone Jt. Surg. 1989; 71: 739
- Small fragment wounds: biophysics and pathophysilogy.J. Trauma. 1996; 40: 159
- Management of small fragment wounds: experience from Afghan border.J. Trauma. 1996; 40: 170
- Ognestreljnaja rana.Voenno Med Zh. 1971; 5: 26
- A prospective evaluation of orthopedic patients evacuated from operations Desert Shield and Desert Storm: the Walter Reed experience.Military Medicine. 1994; 159: 376
- The landmine foot; its description and management.Injury. 1991; 22: 463
- Twenty-one years experience with land mine injuries.J. Trauma. 1988; 28: 159
- Injuries from antipersonel mines: the experience of the International Committee of the Red Cross.BMJ. 1991; 303: 1509
- Injuries of the lower limbs caused by antipersonnel mines: the experience of the International Committee of the Red Cross.Injury. 1996; 27: 477
- Antipersonnel mines: the global epidemic.Ann. R. Coll. Surg. Engl. 1996; 78: 1
- Amputation for antipersonnel mine injuries of the leg-preservation of the tibial stump using a medial gastrocnemius myoplasty.Ann. R. Coll. Surg. Engl. 1989; 17: 405
- Modern developments in War surgery amputations.Medical Corps International. 1990; 2: 11
- Gunshot wounds to the foot.Orthop. Clin. North Am. 1995; 26: 191
- Sepsis in soft tissue limb wounds in soldiers injured during the Falklands campaign 1982.J. R. Army Med. Corps. 1984; 130: 97
- Local effects of antibacterial therapy (Benzyl-Penicillin) on missile wound infection rate and tissue devitalization when debridement is delayed for twelve hours.Acta Chir. Scand. 1982; 508: 271
- Afghan war wounded: experience with 200 cases.J. Trauma. 1988; 28: 523
Article info
Publication history
Accepted:
October 1,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
