Author : Andrew T. Gardner
Publisher :
ISBN 13 :
Total Pages : 58 pages
Book Rating : 4.:/5 (111 download)
Book Synopsis Discrepancies in Treatment Outcomes for Lower Extremity Trauma Between Military and Civilian Personnel by : Andrew T. Gardner
Download or read book Discrepancies in Treatment Outcomes for Lower Extremity Trauma Between Military and Civilian Personnel written by Andrew T. Gardner and published by . This book was released on 2015 with total page 58 pages. Available in PDF, EPUB and Kindle. Book excerpt: Problem: Treatment methods of lower extremity trauma include primary amputation and limb salvage. To date there is much controversy about which treatment option is appropriate for any given patient. Although many algorithms have been established in efforts to predict appropriate treatment, none have been overwhelmingly successful. A majority of the data collected is from the military population, with significant outcome discrepancies observed when compared to civilian populations who have undergone similar treatment. Methods: The Weill Cornell Medical College Library was used for access to PubMed, UpToDate, and data within the National Trauma Database. Studies retrieved for this literature review included prospective, retrospective, observational, and review based articles. These articles were limited to human studies, no greater than ten years since publication, unilateral, lower extremity injuries. Results: PubMed yielded a total of 27 publications. Of these 27 articles, 25 met the inclusion criteria. The remaining two articles were excluded for reasons such as bilateral injuries, multi-system trauma, and treatment of invasive tumors. Two additional background articles were found using uptodate.com and trauma.org. Conclusions: The long-term outcome discrepancy found between the civilian and military populations highlights the necessity to determine the potential causative factors. Understanding the variables that lead to the improved outcomes, in either treatment group, will allow for the production of better post-treatment guidelines in an effort to determine appropriate standards of care.