Abstract
Determining whether to perform limb salvage or amputation in the traumatized lower extremity continues to be a difficult problem in the military and civilian sectors. Numerous predictive scores and models have failed to provide definitive criteria for prediction of limb-salvage success. Excellent support is available in the military health care system for soldiers electing to undergo either limb salvage or amputation. Recent experience with soldiers who sustained limb-threatening injuries has shown that delayed amputation after limb-salvage attempts is a viable option for soldiers wounded in combat.
Published by Elsevier Inc.
MeSH terms
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Amputation, Surgical / methods*
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Blast Injuries / complications
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Blast Injuries / surgery
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Female
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Follow-Up Studies
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Foot Injuries / diagnosis
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Foot Injuries / etiology
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Foot Injuries / surgery
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Fracture Fixation / methods
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Fracture Healing / physiology
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Fractures, Open / surgery
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Humans
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Injury Severity Score
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Leg Injuries / diagnosis
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Leg Injuries / etiology
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Leg Injuries / surgery*
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Limb Salvage / methods*
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Male
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Military Medicine / methods
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Military Personnel
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Plastic Surgery Procedures / methods
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Recovery of Function
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Risk Assessment
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Soft Tissue Injuries / diagnosis
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Soft Tissue Injuries / etiology
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Soft Tissue Injuries / surgery*
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Surgical Flaps
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Treatment Outcome
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Warfare*
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Wound Healing / physiology