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orthopaedic war

Jessica C Rivera, Renee M Greer, Mary Ann Spott, Anthony E Johnson
BACKGROUND: The Military Orthopaedic Trauma Registry (MOTR) was designed to replicate the Department of Defense Trauma Registry's (DoDTR's) role as pillar for data-driven management of extremity war wounds. The MOTR continuously undergoes quality assurance checks to optimize the registry data for future quality improvement efforts. We conducted a quality assurance survey of MOTR entrants to determine if a simple MOTR data pull could provide robust orthopedic-specific information toward the question of causes for late amputation...
November 2016: Journal of Trauma and Acute Care Surgery
John Hedley-Whyte, Debra R Milamed
No abstract text is available yet for this article.
September 2016: Ulster Medical Journal
Michael J Beltran, Tyson E Becker, Richard K Hurley, Jennifer M Gurney, Roman A Hayda
Hemorrhage continues to be the most common cause of death among service members wounded in combat. Injuries that were previously nonsurvivable in previous wars are now routinely seen by combat surgeons in forward surgical units, the result of improvements in body armor, the universal use of field tourniquets to control extremity hemorrhage at the point of injury, and rapid air evacuation strategies. Combat orthopaedic surgeons remain a vital aspect of the forward surgical unit, tasked with assisting general surgical colleagues in the resuscitation of patients in hemorrhagic shock while also addressing traumatic amputations, open and closed long bone fractures, and mechanically unstable pelvic trauma...
October 2016: Journal of Orthopaedic Trauma
Col Jeffrey N Davila, Marc F Swiontkowski, Col Ret Romney C Andersen
The symposium Extremity War Injuries X: Return to Health and Function, presented by the American Academy of Orthopaedic Surgeons, the Orthopaedic Trauma Association, the Society of Military Orthopaedic Surgeons, and the Orthopaedic Research Society, was held in Washington, DC, on January 27 and 28, 2015. Course chairs Marc F. Swiontkowski, MD, and COL Jeffrey N. Davila, MD, presided over 2 days of general session lectures focusing on war/trauma-related musculoskeletal injuries resulting in service member disability, followed by small group discussions, with a goal of identifying knowledge gaps in the treatment of these injuries...
September 2016: Journal of the American Academy of Orthopaedic Surgeons
Harold Ellis
All the readers of this journal will have read and heard about the ward and operating theatre sisters in 'the old days'. What were they really like, and what was it like to work with them in the hospitals of those far-off times? I entered the old Radcliffe Infirmary Oxford in the summer of 1945, just as World War II was drawing to a close, as a 19 year old student to start my clinical training. I then qualified in July 1948, the very month the NHS came into being, and started my surgical career as house surgeon...
April 2016: Journal of Perioperative Practice
Jessica C Rivera, Renee M Greer, Mary Ann Spott, Anthony E Johnson
BACKGROUND: The Military Orthopaedic Trauma Registry (MOTR) was designed to replicate the Department of Defense Trauma Registry's (DoDTR) role as pillar for data-driven management of extremity war wounds. MOTR continuously undergoes quality assurance checks to optimize the registry data for future quality improvement efforts. We conducted a quality assurance survey of MOTR entrants to determine if a simple MOTR data pull could provide robust orthopaedic specific information towards the question of causes for late amputation...
May 27, 2016: Journal of Trauma and Acute Care Surgery
Philip J Belmont, Brett D Owens, Andrew J Schoenfeld
The combined wars in Afghanistan and Iraq represent the longest ongoing conflicts in American military history, with a combined casualty estimate of >59,000 service members. The nature of combat over the last decade has led to precipitous increases in severe orthopaedic injuries, including traumatic amputations and injuries to the spine. Nearly 75% of all injuries sustained in combat now are caused by explosive mechanisms, and fractures comprise 40% of all musculoskeletal injuries. Injuries to the axial skeleton are more frequent among personnel exposed to combat, and spinal trauma is identified in nearly 40% of those killed...
June 2016: Journal of the American Academy of Orthopaedic Surgeons
Rasikh Maqsood, Alia Rasikh, Tariq Abbasi, Irfan Shukr
BACKGROUND: As a front line state in war against terror, Pakistan has been a victim of terrorism, for the last many years & Baluchistan has been the hub of all such terror activities. The objective of this study was to determine the incidence and type of injuries in mass casualties in terrorist activities in Baluchistan. METHODS: The study was done by the review of the record of all patients of terrorist attacks who were admitted in Combined Military Hospital (CMH) Quetta from 27th Aug 2012 to 31st Jul 2015...
October 2015: Journal of Ayub Medical College, Abbottabad: JAMC
Michael T Neary
No abstract text is available yet for this article.
May 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
Philippe Hernigou
In the last part of the nineteenth century and beginning of the twentieth century surgeons at the University of Vienna helped transform the practice of surgery. They developed new more effective procedures, analyzed the results of their operations, promoted the emergence and growth of surgical specialties and sought understanding of tissue structure, physiology and pathophysiology. Their efforts made Vienna one of the world's most respected centres for operative treatment, basic and clinical research and surgical education...
May 2016: International Orthopaedics
Stéphane Bonnet, F Gonzalez, L Mathieu, G Boddaert, E Hornez, A Bertani, J-P Avaro, X Durand, F Rongieras, P Balandraud, S Rigal, F Pons
INTRODUCTION: The composition of a French Forward Surgical Team (FST) has remained constant since its creation in the early 1950s: 12 personnel, including a general and an orthopaedic surgeon. The training of military surgeons, however, has had to evolve to adapt to the growing complexities of modern warfare injuries in the context of increasing subspecialisation within surgery. The Advanced Course for Deployment Surgery (ACDS)-called Cours Avancé de Chirurgie en Mission Extérieure (CACHIRMEX)-has been designed to extend, reinforce and adapt the surgical skill set of the FST that will be deployed...
October 13, 2015: Journal of the Royal Army Medical Corps
Philippe Hernigou
PURPOSE: The rapid development of surgery in Germany in the nineteenth century occurred for many reasons, particularly political and economic changes and cultural and scientific progress. This paper analyses the progress of orthopaedic surgery from an historical point of view. METHODS: After Napoleon's defeat, a peace conference was held in Vienna (1814-1815). Prussia took a portion of Saxony, Austria and territories along the Rhine. The unification of Germany continued in 1850 and 1880; several wars occurred in the unification process, including against Denmark, Austria and France...
March 2016: International Orthopaedics
Brice Malgras, Olivier Barbier, Ludovic Petit, Sylvain Rigal, François Pons, Pierre Pasquier
INTRODUCTION: On January 11th 2013, France launched Operation Serval in Mali following Resolution 2085 of the Security Council of the United Nations. Between January and March 2013, more than 4000 French soldiers were deployed to support the Malian National Army and the African Armed Forces. METHODS: All of the patients who had surgery during Operation Serval were entered into a computerised database. Patients' demographic data (age, sex, status) and types of performed surgical procedures (specialties, injury mechanisms) were recorded...
January 2016: Injury
Zelimir Mikic
Thirty years ago, in 1984, Dr. Igor A. S. Bitenc, M.D., F.R.C.S.(C), a retired orthopaedic surgeon from Canada, who was of Yugoslav descent, and who had always remained attached to his original homeland, founded a travelling fellowship for young orthopaedic surgeons from former Yugoslavia named the "Anica Bitenc Travelling Fellowship" after his late mother. The first Fellow visited Canada in 1985 and was followed by five Fellows from different areas of Yugoslavia in successive years. Due to the tragic war in Yugoslavia in the 90's, the Fellowship was postponed for several years...
2015: Acta Medico-historica Adriatica: AMHA
Yao Messanvi Akpoto, Anani Abalo, Saliou Adam, Hamza Doles Sama, Yaovi Yannick Dellanh, Kossigan Adodossi Amavi, Batarabadja Bakriga, Atchi Walla, Assang Dossim
PURPOSE: The aim of this study was to analyse war-related and non-war-related extremity injuries in soldiers in the Mali conflict. MATERIALS AND METHODS: This prospective study was performed from 1 May 1 to 31 December 2014. It concerned extremity injuries in soldiers treated at Togo Level 2 Hospital. RESULTS: Seventy-nine patients with an average age of 31.19 years were assessed. Among them, 50 were admitted after war injury and 29 from nonwar injury...
October 2015: International Orthopaedics
Laurent Mathieu, Benjamin Joly, Stéphane Bonnet, Antoine Bertani, Frédéric Rongiéras, François Pons, Sylvain Rigal
PURPOSE: Improved survival of combat casualties in modern conflicts is especially due to early access to damage control resuscitation and surgery in forward surgical facilities. In the French Army, these small mobile units are staffed with one general surgeon and one orthopaedic surgeon who must be able to perform any kind of trauma or non trauma emergency surgery. METHODS: This concept of forward surgery requires a solid foundation in general surgery which is no longer provided by the current surgical programs due to an early specialization of the residents...
October 2015: International Orthopaedics
Michał T W von Grabowski
In the paper the health-care of physically disabled patients in Germany before, during and after the II world war are discussed. The circumstances of introduction of "Racial-Hygiene" - laws and orthopedic indications for the sterilization and euthanasia are described. Patients with severe physical and mental disabilities were potential candidates for annihilation. The tragic fate of jewish physicians is remembered. The activity of board of the German Orthopeadic Society (DOG) in the years 1933-1945 is described and critically analysed...
January 2015: Ortopedia, Traumatologia, Rehabilitacja
George C Balazs, Jonathan F Dickens, Alaina M Brelin, Jared A Wolfe, John-Paul H Rue, Benjamin K Potter
BACKGROUND: Military orthopaedic surgeons have published a substantial amount of original research based on our care of combat-wounded service members and related studies during the wars in Iraq and Afghanistan. However, to our knowledge, the influence of this body of work has not been evaluated bibliometrically, and doing so is important to determine the modern impact of combat casualty research in the wider medical community. QUESTIONS/PURPOSES: We sought to identify the 20 most commonly cited works from military surgeons published during the Iraq and Afghanistan conflicts and analyze them to answer the following questions: (1) What were the subject areas of these 20 articles and what was the 2013 Impact Factor of each journal that published them? (2) How many citations did they receive and what were the characteristics of the journals that cited them? (3) Do the citation analysis results obtained from Google Scholar mirror the results obtained from Thompson-Reuters' Web of Science? METHODS: We searched the Web of Science Citation Index Expanded for relevant original research performed by US military orthopaedic surgeons related to Operation Iraqi Freedom and Operation Enduring Freedom between 2001 and 2014...
September 2015: Clinical Orthopaedics and related Research
Jessica C Rivera, Christina M Hylden, Anthony E Johnson
BACKGROUND: Civilian trauma literature suggests sexual dimorphism in outcomes after trauma. Because women represent an increasing demographic among veterans, the question remains if war trauma outcomes, like civilian trauma outcomes, differ between genders. QUESTIONS/PURPOSES: (1) Do women service members develop different conditions resulting in long-term disability compared with men service members after injuries sustained during deployment? (2) Do women service members have more or less severe disability after deployment injury compared with men service members? (3) Are men or women more likely to return to duty after combat injury? METHODS: The Department of Defense Trauma Registry was queried for women injured during deployment from 2001 to 2011...
August 2015: Clinical Orthopaedics and related Research
Arul Ramasamy, W G P Eardley, D S Edwards, J C Clasper, M P M Stewart
The First World War (1914-1918) was the first truly industrial conflict in human history. Never before had rifle fire and artillery barrage been employed on a global scale. It was a conflict that over 4 years would leave over 750,000 British troops dead with a further 1.6 million injured, the majority with orthopaedic injuries. Against this backdrop, the skills of the orthopaedic surgeon were brought to the fore. Many of those techniques and systems form the foundation of modern orthopaedic trauma management...
February 2016: Journal of the Royal Army Medical Corps
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