Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan

Product Description
During the course of the Iraq and Afghanistan Wars, military orthopedic surgeons have made significant technical and philosophic changes in the treatment of musculoskeletal combat casualties. The widespread use of individual and vehicular body armor, evolution of enemy tactics to include its reliance on improvised explosive devices, and the effectiveness of treatment rendered at military treatment facilities have resulted in a large burden of complex orthopedic injuries. Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan represents and recognizes the latest advances in musculoskeletal surgical care performed to treat today’s US military service members.

Editors LTC Brett D. Owens, MD and LTC Philip J. Belmont Jr., MD have brought together the leading military orthopedic surgeons to relay their clinical orthopedic surgery expertise, as well as to discuss how to provide optimal care for combat casualties both initially in theater and definitively at tertiary care facilities within the United States.

Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan is divided into five sections, with the first being devoted to an overview of general topics. The second section covers scientific topics and their clinical application to musculoskeletal combat casualties. The final three sections are clinically focused on the upper extremity, lower extremity, and spine and pelvic injuries, with many illustrative case examples referenced throughout.

Most Clinical Chapters Contain:
Introduction/historical background
Epidemiology
Management in theater
Definitive management
Surgical techniques
Outcomes
Complications
Combat Orthopedic Surgery: Lessons Learned in Iraq and Afghanistan will be the definitive academic record that represents how orthopedic surgeons currently manage and treat musculoskeletal combat casualties.

Contents
Dedication
Acknowledgments
About the Editors
Contributing Authors
Preface
Foreword by LtCol John M. Tokish, MD, MC USAF
Foreword by John Callaghan, MD
Introduction

SECTION I: PRINCIPLES
Chapter 1: The History of Combat Orthopedic Surgery
MAJ Andrew J. Schoenfeld, MD
Chapter 2: The Combat Environment and Epidemiology of Musculoskeletal Combat Casualties
LTC Philip J. Belmont Jr, MD and CPT Gens P. Goodman, DO
Chapter 3: Echelons of Care
LTC Mark Pallis, DO and COL Tad Gerlinger, MD
Chapter 4: The Forward Surgical Team
MAJ Andrew J. Schoenfeld, MD; MAJ Dirk L. Slade, MD; and LTC Philip J. Belmont Jr, MD
Chapter 5: Combat Support Hospitals
COL James R. Ficke, MD
Chapter 6: Landstuhl Regional Medical Center
COL Joachim Jude Tenuta, MD

SECTION II: ADVANCEMENTS
Chapter 7: Ballistic, Blast, and Burn Injury: Science and Clinical Implications
COL (Ret) Roman Hayda, MD
Chapter 8: Management of Complex Combat-Related Soft Tissue Wounds/Negative Pressure Wound Therapy
MAJ Brett A. Freedman, MD and MAJ Leon J. Nesti, MD, PhD
Chapter 9: Basic Science of War Wounds
LCDR Jonathan Agner Forsberg, MD; Trevor S. Brown, PhD; and MAJ Benjamin K. Potter, MD
Chapter 10: Heterotopic Ossification
MAJ Benjamin K. Potter, MD and LCDR Jonathan Agner Forsberg, MD
Chapter 11: Irrigation and Debridement
MAJ Scott Waterman, MD; CDR Mark E. Fleming, DO; and LTC Brett D. Owens, MD
Chapter 12: Tissue Engineering and Regeneration
LCDR Jared A. Vogler, DO; Wesley Jackson, PhD; and MAJ Leon J. Nesti, MD, PhD
Chapter 13: Infection in Orthopedic Extremity Injuries
LTC Clinton K. Murray, MD
Chapter 14: Tourniquets
COL John F. Kragh Jr, MD
Chapter 15: External Fixation Principles
LCDR Joseph Carney, MD and CAPT D.C. Covey, MD
SECTION III: UPPER EXTREMITY
Chapter 16: Upper Extremity Nerve Injuries
CAPT Eric P. Hofmeister, MD; LT Kathryn H. Hanna, MD; and LCDR Leo T. Kroonen, MD
Chapter 17: Upper Extremity Amputations
LTC(P) Kenneth F. Taylor, MD and COL Gerald L. Farber, MD
Chapter 18: Upper Extremity Coverage: Management of Combat-Related Soft Tissue Injury of the Upper Extremity
CDR (Ret) Anand R. Kumar, MD; CAPT Alan A. Lim, MD; LT Scott Tintle, MD; and
James P. Bradley, MD
Chapter 19: Complex Reconstructive Challenges in Hand and Forearm Wounds
LTC(P) Martin F. Baechler, MD; LT Scott Tintle, MD; COL Chester C. Buckenmaier III, MD; and MAJ Matthew L. Drake, MD
Chapter 20: Complex Elbow and Shoulder Injuries
Capt Robert McGill, MD and Col Damian Rispoli, MD

SECTION IV: LOWER EXTREMITY
Chapter 21: Lower Extremity Limb Salvage
CPT Michael J. Beltran, MD; LTC(P) Romney C. Andersen, MD; and LTC Joseph R. Hsu, MD
Chapter 22: Combat-Related Lower Extremity Amputations
MAJ Benjamin K. Potter, MD; LT Scott Tintle, MD; and LCDR Jonathan Agner Forsberg, MD
Chapter 23: Prostheses for Major Extremity Amputations
Zach Harvey, BS, CPO and MAJ Benjamin K. Potter, MD
Chapter 24: Long-Bone Fracture Management
MAJ Travis C. Burns, MD; CPT Daniel J. Stinner, MD; and LTC Joseph R. Hsu, MD
Chapter 25: Lower Extremity Coverage: Management of Combat-Related Soft Tissue Injury of the Lower Extremity
CDR (Ret) Anand R. Kumar, MD; CAPT Alan A. Lim, MD; LT Scott Tintle, MD; and James P. Bradley, MD
Chapter 26: Complex Foot and Ankle Injuries
LTC Scott B. Shawen, MD; CPT Jonathan F. Dickens, MD; CPT Kelly G. Kilcoyne, MD; and MAJ Benjamin K. Potter, MD
SECTION V: SPINE/PELVIS
Chapter 27: Combat Injuries to the Pelvis and Acetabulum
LtCol Wade Gordon, MD; CPT Matthew Kluk, MD; CDR Joseph E. Strauss, DO; and LTC(P) Romney C. Andersen, MD
Chapter 28: Spine Fractures
CPT Daniel G. Kang, MD and LTC Ronald A. Lehman Jr, MD
Chapter 29: Spine Neurologic Injury
CDR David E. Gwinn, MD and LTC Michael K. Rosner, MD
Financial Disclosures
Index