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J Am Acad Orthop Surg, Vol 14, No 10, September 2006, S136-S139.
© 2006 the American Academy of Orthopaedic Surgeons
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Blast and Penetrating Fragment Injuries to the Extremities

Yoram A. Weil, MD, Rami Mosheiff, MD and Meir Liebergall, MD

Dr. Weil is Senior Orthopedic Surgeon, Department of Orthopedic Surgery, Hadassah University Hospital, Jerusalem, Israel. Dr. Mosheiff is Head, Orthopedic Trauma Service, Department of Orthopedic Surgery, Hadassah University Hospital. Dr. Liebergall is Chairman, Department of Orthopedic Surgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Weil, Dr. Mosheiff, and Dr. Liebergall.

Blast injury to the extremities is the most common form of injury in recent military campaigns and in civilian terror attacks. Most orthopaedic trauma is caused by the secondary effect of blast—penetrating fragment injury. Timely wound débridement and excision of contaminated or avascular tissue, along with prevention of sepsis, are crucial to managing extremity injury. Late reconstruction and functional results are very challenging for the surgical team to achieve.






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Copyright © 2006 by the American Academy of Orthopaedic Surgeons.