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Acta Orthop Belg ; 85(1): 21-34, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31023196

RESUMO

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.


Assuntos
Amputação Cirúrgica/métodos , Traumatismos por Explosões/cirurgia , Desbridamento , Extremidade Inferior/cirurgia , Adulto , Criança , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Retalhos Cirúrgicos , Adulto Jovem
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