An Analysis of Orthopedic Surgical Procedures Performed During U.S. Combat Operations from 2002 to 2016.
Introduction: Orthopedic surgery constitutes 27% of procedures performed for combat injuries. General surgeons may deploy far forward without orthopedic surgeon support. This study examines the type and volume of orthopedic procedures during 15 years of combat operations in Iraq and Afghanistan.Mate...
| Publicado en: | Military Medicine Vol. 184; no. 11/12; pp. 813 - 820 |
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| Autores principales: | , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Nov/Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=140890726&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 140890726 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00264075 4DV jtl: Military Medicine issn: 00264075 maglogo: N pubinfo: dt: Nov/Dec2019 vid: 184 iid: 11/12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 140890726 140890726 NLM31132109 140890726 10.1093/milmed/usz093 NLM31132109 140890726 ppf: 813 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: An Analysis of Orthopedic Surgical Procedures Performed During U.S. Combat Operations from 2002 to 2016. aug: au: Stern, Caryn A Stockinger, Zsolt T Todd, William E Gurney, Jennifer M affil: Joint Trauma System, DoD Center of Excellence for Trauma, 3611 Chambers Dr, Joint Base San Antonio, Fort Sam Houston, TX 78234 sug: subj: Orthopedic Surgery Statistics and Numerical Data Military Medicine Statistics and Numerical Data Debridement Methods Orthopedic Surgery Methods Amputation Statistics and Numerical Data Fractures, Open Epidemiology Debridement Statistics and Numerical Data Retrospective Design Amputation Methods Military Medicine Methods United States Fractures, Open Surgery Data Collection Questionnaires Human ab: Introduction: Orthopedic surgery constitutes 27% of procedures performed for combat injuries. General surgeons may deploy far forward without orthopedic surgeon support. This study examines the type and volume of orthopedic procedures during 15 years of combat operations in Iraq and Afghanistan.Materials and Methods: Retrospective analysis of the US Department of Defense Trauma Registry (DoDTR) was performed for all Role 2 and Role 3 facilities, from January 2002 to May 2016. The 342 ICD-9-CM orthopedic surgical procedure codes identified were stratified into fifteen categories, with upper and lower extremity subgroups. Data analysis used Stata Version 14 (College Station, TX).Results: A total of 51,159 orthopedic procedures were identified. Most (43,611, 85.2%) were reported at Role 3 s. More procedures were reported on lower extremities (21,688, 57.9%). Orthopedic caseload was extremely variable throughout the 15-year study period.Conclusions: Orthopedic surgical procedures are common on the battlefield. Current dispersed military operations can occur without orthopedic surgeon support; general surgeons therefore become responsible for initial management of all injuries. Debridement of open fracture, fasciotomy, amputation and external fixation account for 2/3 of combat orthopedic volume; these procedures are no longer a significant part of general surgery training, and uncommonly performed by general/trauma surgeons at US hospitals. Given their frequency in war, expertise in orthopedic procedures by military general surgeons is imperative. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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