PMID: 8606415Mar 1, 1996Paper

External fixation in war traumatology: report from the Rwandese war (October 1, 1990 to August 1, 1993)

The Journal of Trauma
F LabeeuS Van Erps

Abstract

Modern missiles cause important damage in the tissues. In case of bone injury, apart from the presence of foreign bodies and soil dirt in the foyer, the lesion is characterized by a certain instability caused by the smashing and resulting in the comminutive fractures, as well as severe lesions of the soft tissues. If primary treatment includes the necessity of a large wound excision, of which the modalities have been described for centuries, it also includes a rigorous immobilization of the foyer as precaution against shock and infection. All techniques proposed during former conflicts proved that they are little adapted to the final goal. Their inadequacy may lead to amputation, at any rate to severe sequelae. In war traumatology, opposed to the shortcomings of nonoperative methods and opposed to the prohibitions of intrafocal synthesis, external fixation is considered to be the best among compromises: it stabilizes fractures efficiently without risk, retains the distance between bone fragments, and prevents contracture of the muscles. External fixators promote debridement of the wounds, permit vascular repairs and control of the wounds, allow mobilization of the limbs, improve the injured's comfort, and facilitate evacuation ...Continue Reading

Citations

Mar 22, 2012·The Journal of Bone and Joint Surgery. British Volume·K V BrownJ Clasper
Jul 27, 1999·The Journal of Trauma·I CernakM Jevtic
Apr 20, 2010·Journal of the Royal Army Medical Corps·M C BoydJ C Clasper
Mar 31, 2010·Orthopedics·David Seligson, Lonnie Douglas
Mar 13, 2014·International Orthopaedics·Laurent MathieuSylvain Rigal
Jun 5, 2008·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Hans-Christoph Pape
Aug 16, 2005·Journal of the Royal Army Medical Corps·J C Clasper, S L Phillips
Jun 11, 2009·The Journal of Trauma·Lucian FodorAlexander Lerner
Mar 25, 2019·International Orthopaedics·Abduljabbar AlhammoudMason Alnouri
Nov 24, 2004·Vojnosanitetski pregled. Military-medical and pharmaceutical review·Dragan Nikolić
Oct 20, 2006·Injury·Marc Garcia-Elias, Miguel Angel Vidal Folgar
Mar 28, 2006·Foot and Ankle Clinics·Francis X McGuiganRomney C Andersen

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