Citation

Keeling JJ, Hsu JR, Shawen SB, Andersen RC. Foot Ankle Clin. 2010; 15(1): 139-149.

Affiliation

Orthopaedic Surgery Service, National Naval Medical Center, 8901 Rockville Pike, Bethesda, MD 20889-5600, USA; Orthopaedic Foot and Ankle Service, National Naval Medical Center (NNMC), 8901 Wisconsin Avenue, Bethesda, MD 20889, USA; Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD, USA; Orthopaedic Surgery Service, Walter Reed National Military Medical Center (WRNMMC), 8901 Wisconsin Avenue, Bethesda, MD 20889, USA; Orthopaedic Surgery Service, Walter Reed National Military Medical Center (WRNMMC), 6900 Georgia Avenue NW, Washington, DC, USA.

Copyright

(Copyright © 2010, Elsevier Publishing)

DOI

10.1016/j.fcl.2009.10.003

PMID

20189121

Abstract

Blast-related lower extremity trauma presents many challenges in its management that are not frequently experienced in high-energy civilian trauma. Because many of the blasts experienced in the current conflicts are ground based, the foot and ankle have sustained considerable severity and extent of injury because of the proximity of the blast. The high functional demands required of active service members create several reconstructive challenges. The authors' experience in the current conflicts has shown a similar trend, with the magnitude of soft tissue injury usually dictating whether or not salvage may be possible. Several reconstructive options for bone defect management are outlined and discussed.

Language: en