Modern Initial Management of Severe Limbs Trauma in War Surgery: Orthopaedic Damage Control.

摘要

The severe open limbs traumas are very frequent in modern wars. The conditions of local management of the casualties are most of the time very rustic and associated with extra difficulties: Mass cal context, surgical tools and competences limited, soldiers badly injured....A classic management is most of the time impossible to realise. The authors proposed to use a new philosophy of first management of these lesions: The Orthopaedic Damage Control. After a short presentation of the concept they give their own experience of this kind of management in civilian practice and discuss the possibility to extend it to war surgery in role 1 and role 2.