Combat foot and ankle trauma.

Use of tourniquets and their effects on limb function in the modern combat environment.

Tourniquets have been called powerful lifesaving devices by some authors, whereas others say they cause more harm than good. Given recent emergency tourniquet developments in scientific design of devices, widespread user training, modern doctrine based on evidence, and thorough fielding to users within an integrated trauma system with rapid evacuation, tourniquets have shown minor morbidity and...

Strategies for managing massive defects of the foot in high-energy combat injuries of the lower extremity.

Blast-related lower extremity trauma presents many challenges in its management that are not frequently experienced in high-energy civilian trauma. Because many of the blasts experienced in the current conflicts are ground based, the foot and ankle have sustained considerable severity and extent of injury because of the proximity of the blast. The high functional demands required of active serv...

Diagnosis and treatment of forefoot disorders. Section 5. Trauma.

Trauma to the toes, lesser metatarsals, and their respective joints involves various mechanisms and injury types (1, 2). These include a history of both direct and indirect trauma. Patients may exhibit symptoms acutely at the time of trauma or at a later onset. Symptoms include pain, swelling, discoloration, loss of joint motion, and difficulty standing and/or walking. An accurate history of th...

Diagnosis and treatment of first metatarsophalangeal joint disorders. Section 5: Traumatic disorders.

Hyperflexion/extension or stubbing-type injuries are the most common causes of first MTP joint trauma (6,14–16). In some instances, the patient may not recall a specific episode of trauma. Crush injuries are a less common cause but they do occur particularly in industrial accidents. Patients may present immediately after acute trauma or sometime later because of persistence of residual symptoms.

Salvage of Severe Foot and Ankle Trauma With a 3D Printed Scaffold.

Symptomatic treatment or cast immobilisationfor avulsion fractures of the base of the fifth metatarsal

 P. I. Akimau, MD, PhD, FRCS Orth, ST8 in Trauma and Orthopaedics, Department of Trauma and Orthopaedics  W. M. Dakin, RN, Dip Orth Nursing, Staff Nurse, Department of Trauma and Orthopaedics  C. Chadwick, FRCS Orth, Consultant Orthopaedic Surgeon, Sheffield Foot and Ankle Unit, Department of Trauma and Orthopaedics  C. M. Blundell, MD, FRCS Orth, Consultant Orthopaedic Surgeon, Sheffield F...