Ballistic Injuries to the Paediatric Limb

Description

In this presentation, Philip Henman discusses the fundamental aspects of ballistic injuries, particularly focusing on the unique characteristics of injuries sustained by children in comparison to adults. He begins by establishing a foundational understanding of ballistic injuries, detailing the mechanisms of injury caused by projectiles and blasts.



Henman highlights the tendency of children to sustain different types of injuries due to their smaller, more elastic anatomy. He emphasizes that even minor ballistic impacts can result in significant harm to children, explaining that the kinetic energy transferred by a projectile upon impact is a crucial factor in determining injury severity.



With a focus on the management of war-related injuries in children, the presentation explores key aspects such as initial and definitive treatment strategies, the intricacies of amputation, and the importance of preserving growth potential in the growing skeleton. Henman elucidates on the treatment hierarchy, emphasizing the need to prioritize saving life over limb and the necessity of preserving the periosteum in pediatric patients during surgical interventions.



Through detailed descriptions and case studies, he reveals the challenges faced when treating blast injuries, particularly the extensive damage caused by the shock wave and the complications arising from initial mismanagement. Henman concludes by urging medical professionals to be cautious in their approach, suggesting specific guidelines for treatment and highlighting the need to adapt techniques to accommodate the physiological differences inherent in children.

DOI: 10.1302/3114-230173

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