International Orthopaedics (SICOT) (2017) 41:1771–1775 DOI 10.1007/s00264-017-3439-9 ORIGINAL PAPER Initial management of complex hand injuries in military or austere environments: how to defer and prepare for definitive repair? 1 2 1 1 Camille Choufani & Olivier Barbier & Antoine Grosset & James Charles Murison & 2,3 1,3 1,3,4 Didier Ollat & Sylvain Rigal & Laurent Mathieu Received: 31 October 2016 /Accepted: 6 March 2017 /Published online: 10 April 2017 SICOT aisbl 2017 . . . Abstract Keywords Damage control surgery Hand trauma Military Introduction The damage control orthopedics (DCO) concept is Orthopedic surgery Polytrauma a sequential surgical management strategy indicated when ideal primary treatment is not possible or suitable. DCO principles are routinely applied to hand traumas in wartime practice, but could also be useful in a civilian setting when immediate specialized Introduction management cannot be carried out. Methods The authors report three typical observations of soldiers Damage control orthopedics (DCO) is an emergency sur- treated for a complex hand trauma on the field by orthopedic gical tactic revolving around three stages and based on surgeons from the French Military Health Service (FMHS). simple and fast initial procedures intended to stabilize Application of the hand DCO concept is analyzed
International Orthopaedics – Springer Journals
Published: Apr 10, 2017
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