Modern military surgery

Lessons from Iraq and Afghanistan

K. V. Brown, H. C. Guthrie, A. Ramasamy, J. M. Kendrew, J. Clasper

Abstract

The types of explosive devices used in warfare and the pattern of war wounds have changed in recent years. There has, for instance, been a considerable increase in high amputation of the lower limb and unsalvageable leg injuries combined with pelvic trauma.

The conflicts in Iraq and Afghanistan prompted the Department of Military Surgery and Trauma in the United Kingdom to establish working groups to promote the development of best practice and act as a focus for research.

In this review, we present lessons learnt in the initial care of military personnel sustaining major orthopaedic trauma in the Middle East.

Footnotes

  • No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article.

  • Supplementary material. A further opinion by Professor D. Hamblen is available with the electronic version of this article on our website www.jbjs.boneandjoint.org.uk

  • Received November 1, 2011.
  • Accepted December 1, 2011.
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