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Bone & Joint 360
Vol. 2, Issue 5 | Pages 2 - 7
1 Oct 2013
Penn-Barwell JG Rowlands TK

Blast and ballistic weapons used on the battlefield cause devastating injuries rarely seen outside armed conflict. These extremely high-energy injuries predominantly affect the limbs and are usually heavily contaminated with soil, foliage, clothing and even tissue from other casualties. Once life-threatening haemorrhage has been addressed, the military surgeon’s priority is to control infection. . Combining historical knowledge from previous conflicts with more recent experience has resulted in a systematic approach to these injuries. Urgent debridement of necrotic and severely contaminated tissue, irrigation and local and systemic antibiotics are the basis of management. These principles have resulted in successful healing of previously unsurvivable wounds. Healthy tissue must be retained for future reconstruction, vulnerable but viable tissue protected to allow survival and avascular tissue removed with all contamination. . While recent technological and scientific advances have offered some advantages, they must be judged in the context of a hard-won historical knowledge of these wounds. This approach is applicable to comparable civilian injury patterns. One of the few potential benefits of war is the associated improvement in our understanding of treating the severely injured; for this positive effect to be realised these experiences must be shared


Bone & Joint 360
Vol. 9, Issue 5 | Pages 10 - 12
1 Oct 2020
Giddins GEB


Bone & Joint 360
Vol. 12, Issue 6 | Pages 6 - 12
1 Dec 2023
Vallier HA Breslin MA Taylor LA Hendrickson SB Ollivere B


Bone & Joint 360
Vol. 13, Issue 5 | Pages 8 - 17
1 Oct 2024
Holley J Lawniczak D Machin JT Briggs TWR Hunter J


Bone & Joint 360
Vol. 12, Issue 3 | Pages 8 - 9
1 Jun 2023
Stringer H


Bone & Joint 360
Vol. 13, Issue 1 | Pages 7 - 8
1 Feb 2024
Jamal B Round J Qureshi A


Bone & Joint 360
Vol. 12, Issue 5 | Pages 6 - 10
1 Oct 2023
Arnaouti M


Bone & Joint 360
Vol. 13, Issue 2 | Pages 8 - 12
1 Apr 2024
Craxford S


Bone & Joint 360
Vol. 13, Issue 4 | Pages 7 - 9
2 Aug 2024
Monsell F


Bone & Joint 360
Vol. 13, Issue 3 | Pages 8 - 11
3 Jun 2024
Pickering GAE


Bone & Joint 360
Vol. 11, Issue 5 | Pages 6 - 8
1 Oct 2022
Jamal B Calder P


Bone & Joint 360
Vol. 11, Issue 3 | Pages 9 - 11
1 Jun 2022
Foxall-Smith M


Bone & Joint 360
Vol. 11, Issue 1 | Pages 6 - 12
1 Feb 2022
Khan T Ng J Chandrasenan J Ali FM


Bone & Joint 360
Vol. 10, Issue 5 | Pages 7 - 10
1 Oct 2021
Morris DLJ Cresswell T Espag M Tambe AA Clark DI Ollivere BJ


Bone & Joint 360
Vol. 10, Issue 4 | Pages 5 - 11
1 Aug 2021
Kurien T Scammell BE


Bone & Joint 360
Vol. 10, Issue 2 | Pages 5 - 16
1 Apr 2021
Coco V Shivji F Thompson P Grassi A Zaffagnini S Spalding T


Bone & Joint 360
Vol. 9, Issue 6 | Pages 5 - 11
1 Dec 2020
Sharma V Turmezei T Wain J McNamara I


Bone & Joint 360
Vol. 4, Issue 4 | Pages 2 - 7
1 Aug 2015
Nicol S Jackson M Monsell F

This review explores recent advances in fixator design and used in contemporary orthopaedic practice including the management of bone loss, complex deformity and severe isolated limb injury


Bone & Joint 360
Vol. 9, Issue 4 | Pages 6 - 10
1 Aug 2020
Machin JT Forward D Briggs T


Bone & Joint 360
Vol. 9, Issue 2 | Pages 3 - 6
1 Apr 2020
Myint Y Ollivere B