Combat Orthopedic Surgery


Book Description

During the course of the Iraq and Afghanistan Wars, military orthopedic surgeons have made significant technical and philosophic changes in the treatment of musculoskeletal combat casualties. The widespread use of individual and vehicular body armor, evolution of enemy tactics to include its reliance on improvised explosive devices, and the effectiveness of treatment rendered at military treatment facilities have resulted in a large burden of complex orthopedic injuries. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan represents and recognizes the latest advances in musculoskeletal surgical care performed to treat today’s US military servicemembers. Editors LTC Brett D. Owens, MD and LTC Philip J. Belmont Jr., MD have brought together the leading military orthopedic surgeons to relay their clinical orthopedic surgery expertise, as well as to discuss how to provide optimal care for combat casualties both initially in theater and definitively at tertiary care facilities within the United States. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan is divided into five sections, with the first being devoted to an overview of general topics. The second section covers scientific topics and their clinical application to musculoskeletal combat casualties. The final three sections are clinically focused on the upper extremity, lower extremity, and spine and pelvic injuries, with many illustrative case examples referenced throughout. Most clinical chapters contain: Introduction/historical background Epidemiology Management in theater Definitive management Surgical techniques Outcomes Complications Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan will be the definitive academic record that represents how orthopedic surgeons currently manage and treat musculoskeletal combat casualties.




Combat Orthopedic Surgery


Book Description

During the course of the Iraq and Afghanistan Wars, military orthopedic surgeons have made significant technical and philosophic changes in the treatment of musculoskeletal combat casualties. The widespread use of individual and vehicular body armor, evolution of enemy tactics to include its reliance on improvised explosive devices, and the effectiveness of treatment rendered at military treatment facilities have resulted in a large burden of complex orthopedic injuries. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan represents and recognizes the latest advances in musculoskeletal surgical care performed to treat today’s US military servicemembers. Editors LTC Brett D. Owens, MD and LTC Philip J. Belmont Jr., MD have brought together the leading military orthopedic surgeons to relay their clinical orthopedic surgery expertise, as well as to discuss how to provide optimal care for combat casualties both initially in theater and definitively at tertiary care facilities within the United States. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan is divided into five sections, with the first being devoted to an overview of general topics. The second section covers scientific topics and their clinical application to musculoskeletal combat casualties. The final three sections are clinically focused on the upper extremity, lower extremity, and spine and pelvic injuries, with many illustrative case examples referenced throughout. Most Clinical Chapters Contain: • Introduction/historical background • Epidemiology • Management in theater • Definitive management • Surgical techniques • Outcomes • Complications Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan will be the definitive academic record that represents how orthopedic surgeons currently manage and treat musculoskeletal combat casualties.




Front Line Extremity and Orthopaedic Surgery


Book Description

This is an easy to read reference and practical guide to the management of combat extremity injuries, which account for a high percentage of the injuries sustained in recent and current conflicts. The surgical techniques appropriate to the full range of extremity injuries and some other frequent injuries, such as trauma to the spine and pelvis, are clearly described with the aid of helpful illustrations. In each chapter a “bottom line up front” approach is adopted, providing key messages first; a further important feature is the emphasis placed on case-based information and lessons learned from practice. Care has been taken to ensure that the advice provided is straightforward and in line with military clinical practice guidelines. This book, written by surgeons with experience in combat casualty care, will be relevant to all physicians working in forward surgical teams, combat surgical hospitals, or the “Charlie Med”.​




Emergency War Surgery


Book Description

War surgery and treatment of combat casualties at far-forward locations, frequently under austere conditions, continue tosave lives. Military medical personnel provide outstanding health support to those who serve in harm’s way. As war hasevolved, so has our medical support to those who fight. Today, American service members face a new terrain of mobile urbanconflict. Despite advances in personal and force protection, our forces remain vulnerable to blast wounds, burns, and multiplepenetrating injuries not usually or routinely encountered in civilian settings. This publication expertly addresses the appropriate medicalmanagement of these and other battle and nonbattle injuries. This updated resource provides state-of-the-art principles and practices of forward trauma surgery practiced by the US military medical personnel.




Musculoskeletal Injuries in the Military


Book Description

This authoritative reference examines the causes of--and offers workable solutions to--the widespread problem of musculoskeletal injuries among armed forces personnel. Specific chapters on combat, non-combat, training, and fitness injuries shed necessary light on the nature and scope of the epidemic, including impact on active service members and the resulting quality of life issues in veterans. An overview of these injuries by anatomic region highlights treatment, disability, and prevention issues in military settings. The book also translates the standard public health model for preventing injuries into military context, giving professionals guidelines for developing strategies tailored to the unique strengths and risks of this population. Featured in the coverage: · The burden of musculoskeletal injuries in the military. · Traumatic combat injuries. · Deployment and non-battle injuries. · Epidemiology of musculoskeletal injuries by anatomic region. · Application of the public health model for injury prevention. · Barriers to injury prevention in the military. Its depth of detail makes Musculoskeletal Injuries in the Military critical reading for orthopedic surgeons, physical therapists, athletic trainers, military leaders, military and VA healthcare staff including physicians and policymakers, public health and injury prevention professionals, occupational health and safety professionals, musculoskeletal injury and disease researchers, and veterans' health advocacy groups.




Orthopedics in Disasters


Book Description

This book is the first to address specifically the mechanisms and treatment of orthopedic injuries due to natural disasters and other mass casualty events. Casualty management is discussed in a range of contexts, from earthquakes and tsunamis to terror attacks and combat situations. Organizational aspects are addressed, general treatment principles are documented, and the management of a variety of orthopedic injuries is described with the aid of numerous illustrations. The book will serve as an invaluable source of practical knowledge for a broad spectrum of medical and other staff, including emergency personnel, orthopedic and trauma surgeons, general practitioners, medical students, and professionals working for the military, government bodies, and NGOs.​




Bone on Bone


Book Description

A surgeon’s protocol that challenges conventional orthopedic practices to help you heal pain naturally while avoiding surgery—or recover faster from a necessary procedure. Far too many individuals have accepted a lower quality of life while contending with painful musculoskeletal conditions including arthritis, rheumatism, tendinitis, and autoimmune diseases. And traditional methods of treatment are often risky and costly with questionable success rates. Bone on Bone is a total lifestyle guide for optimal health and pain-free living. Dr. Meredith Warner—an orthopedic surgeon who performed combat surgery in Iraq and Afghanistan, operates an orthopedic practice, and teaches surgical residents—shows how the same underlying principles that extend life, reduce heart disease, prevent diabetes, and decrease incidences of dementia should be applied to the overall care for orthopedic problems. Bone on Bone will empower readers with the tools and knowledge to naturally treat pain whenever possible by: Promoting natural healing with simple and strategic lifestyle modifications, including time-restricted eating, sleep schedule optimization, and simple exercises Providing guidance on how to foster a strong mind–body connection to improve self-control and better manage pain Explaining how targeted changes to your mindset, eating habits, exercise routine, nutrition, and sleep can relieve common orthopedic pain Breaking down how to successfully navigate medical options—and understanding why some surgeries are unnecessary Helping readers harness their own body’s power of self-repair Offering a step-by-step protocol for improving overall wellness and extending health span Taking steps to combat cognitive decline and boost mental health while also improving musculoskeletal health Regardless of your age or if you have been told you’re “bone on bone,” painful orthopedic problems are not something you’re stuck with. You can activate your body’s natural ability to heal itself—taking control of your health to feel better than you have in years—without surgery. This comprehensive book will help you thrive for years to come, by keeping the entire musculoskeletal system in great shape without breaking the bank.




The Evolution of Forward Surgery in the US Army


Book Description

"This volume in the Borden Institute's history series will describe forward US Army surgery from the 1700s to the present time. The book will look at advances in medicine and surgery that improved the lot of the American soldier. In particular, the book will examine the impact of disease upon troop strength, which had special impact in the Revolutionary War through the post-Civil War period. Forward surgery in the modern sense came of age in World War I. The challenge of so many different theaters of conflict in World War II will be examined from the portable surgical hospital of the China-Burma-India Theater of Operations to the surgical evacuation hospital teams of the European Theater of Operations. The evolving care models will feature the story of the Korean War mobile army surgical hospital. The defining performance of helicopter air evacuation in Vietnam, along with improved surgical techniques, will be discussed. Finally, the many advances of forward surgery from the post-Vietnam era to the present will be presented."--Provided by publisher.




Damage Control Management in the Polytrauma Patient


Book Description

This guide to damage control surgery focuses on the decision-making process for managing polytrauma. Orthopedists, trauma surgeons, and emergency medicine physicians will learn how to effectively coordinate efforts. The book presents an overview of the damage control concept and the epidemiology of polytrauma injuries. Immunological changes, cascade reactions, and patient selection are discussed. Indications for life-saving procedures, damage control for truncal injuries, and damage control for extremities and pelvic fractures are outlined as well. The text also covers vascular injuries and secondary definitive procedures.




Armed Conflict Injuries to the Extremities


Book Description

This book is designed to meet the continued need to re-learn the principles of treatment of complex war injuries to the extremities in order to minimize post-traumatic and post-treatment complications and optimize functional recovery. Most of the chapters are based on the unique experience gained in the treatment of military personnel who have suffered modern combat trauma and civilian victims of terror attacks at a single, large level 1 trauma center. The remaining chapters present the experience of leading international authorities in trauma and reconstructive surgery. A staged treatment protocol is presented, ranging from primary damage control through to definitive functional limb reconstruction. The organization of medical aid, anesthesiology, diagnostic imaging, infection prophylaxis, and management of complications are reviewed, and a special chapter is devoted to the challenging dilemma of limb salvage versus amputation in the treatment of limbs at risk.