Dismounted Complex Blast Injury.

Romney C. Andersen*, Mark Fleming, Jonathan A. Forsberg, Wade T. Gordon, George P. Nanos, Michael T. Charlton, James R. Ficke

*Corresponding author for this work

Research output: Contribution to journalEditorial

51 Scopus citations

Abstract

The severe Dismounted Complex Blast Injury (DCBI) is characterized by high-energy injuries to the bilateral lower extremities (usually proximal transfemoral amputations) and/or upper extremity (usually involving the non-dominant side), in addition to open pelvic injuries, genitourinary, and abdominal trauma. Initial resuscitation and multidisciplinary surgical management appear to be the keys to survival. Definitive treatment follows general principals of open wound management and includes decontamination through aggressive and frequent debridement, hemorrhage control, viable tissue preservation, and appropriate timing of wound closure. These devastating injuries are associated with paradoxically favorable survival rates, but associated injuries and higher amputation levels lead to more difficult reconstructive challenges.

Original languageEnglish
Pages (from-to)2-7
Number of pages6
JournalJournal of surgical orthopaedic advances
Volume21
Issue number1
StatePublished - 2012

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