Fate of combat nerve injury
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
Pagination or Media Count:
Assess a cohort of combat related type III open tibia fractures with peripheral nerve injury to determine the injury mechanism and likelihood for recovery or improvement in nerve function. Out of a study cohort of 213 type III open tibia fractures, 32 fractures in 32 patients with a total of 43 peripheral nerve injuries peroneal or tibial distal to the popliteal fossa met inclusion criteria and were available for follow up at an average of 20 months range, 2 48 months. Type III open tibia fractures sustained in combat are associated with a 22 incidence of peripheral nerve injury, and the majority are due to multiple projectile penetrating injury. Despite the severe nature of these injuries, the vast majority of patients had a functional nerve status by an average of 2 year follow up. Based on these findings, discussions regarding limb salvage and amputation should not be overly influenced by the patients peripheral nerve status.
- Medicine and Medical Research
- Weapons Effects (Biological)
- Military Operations, Strategy and Tactics