Hindfoot blast injuries caused by improvised explosive devices: long-term functional assessment in French military personnel.
Amputation
Blast injury
Hindfoot
Improvised explosive device
Solid blast
War surgery
Journal
International orthopaedics
ISSN: 1432-5195
Titre abrégé: Int Orthop
Pays: Germany
ID NLM: 7705431
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
09
04
2020
accepted:
28
07
2020
pubmed:
10
8
2020
medline:
24
4
2021
entrez:
10
8
2020
Statut:
ppublish
Résumé
The chosen treatment and long-term evaluation of hindfoot blast injuries are not well-represented in the literature. The first objective of this retrospective study was to evaluate functional outcomes in French service personnel who had sustained such injuries caused by improvised explosive devices. The second objective was to compare the results for patients who had amputations with those who did not. The hypothesis was that amputee recovered better function. Long-term functional evaluations were carried out using the American Orthopaedic Foot and Ankle Society scale (AOFAS), the Foot and Ankle Ability Measure (FAAM), and the Short Form 12 health survey (SF-12). Eight servicemen with ten hindfoot blast injuries were reviewed at a mean follow-up time of seven years. Primary management was always conservative although half of the patients required late amputation for chronic pain. The patients who underwent amputation reported significantly lower levels of pain than those who did not have an amputation, with higher FAAM and SF-12 scores. In this series, long-term functional results appear better in the amputated group.
Identifiants
pubmed: 32770349
doi: 10.1007/s00264-020-04766-9
pii: 10.1007/s00264-020-04766-9
doi:
Substances chimiques
Explosive Agents
0
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
751-757Références
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