Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-07-15DOI: 10.1016/S1619-9987(26)00059-0
{"title":"Neuaufnahmen Stand 01.03.2026","authors":"","doi":"10.1016/S1619-9987(26)00059-0","DOIUrl":"10.1016/S1619-9987(26)00059-0","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Page 157"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-07-15DOI: 10.1016/j.fuspru.2026.06.003
{"title":"Kriegsbedingte Verletzungen an Fuß und Sprunggelenk","authors":"","doi":"10.1016/j.fuspru.2026.06.003","DOIUrl":"10.1016/j.fuspru.2026.06.003","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Pages 105-106"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148559408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-05-16DOI: 10.1016/j.fuspru.2026.04.004
Simon Vedlin, Dan Bieler, Erwin Kollig, Florian Pavlu, Sebastian Hentsch, Max Seidelmann
{"title":"Verletzungen der unteren Extremität in Kriegs- und Krisenzeiten – Herausforderungen und Behandlungsstrategien","authors":"Simon Vedlin, Dan Bieler, Erwin Kollig, Florian Pavlu, Sebastian Hentsch, Max Seidelmann","doi":"10.1016/j.fuspru.2026.04.004","DOIUrl":"10.1016/j.fuspru.2026.04.004","url":null,"abstract":"<div><div>In Germany, gunshot and blast injuries are rare but are becoming increasingly relevant due to conflicts such as the war in Ukraine and the resulting increase in affected patients. They frequently result in complex, multiregional trauma with high-energy impact, extensive soft tissue destruction, and contaminated wounds. Injuries of the extremities are predominant, with the lower extremity, particularly the foot and ankle, being vulnerable due to its biomechanical complexity and functional demands. Initial management follows the principles of damage-control-surgery to avoid life-threatening complications. The treatment algorithm includes radical debridement, creation of vital and load-bearing soft tissue, bony reconstruction, arthrodesis or prosthetic reconstruction, and neuromotor restoration, or secondary amputation, to ensure phased, effective care for severely injured patients.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Pages 133-143"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-04-14DOI: 10.1016/j.fuspru.2026.03.001
Petro Nikitin, Oleksandr Rikhter, Vasyl Parii, Kostiantyn Romanenko, Stefan Rammelt
{"title":"Ballistic injuries to the foot and ankle: Current Ukrainian experience","authors":"Petro Nikitin, Oleksandr Rikhter, Vasyl Parii, Kostiantyn Romanenko, Stefan Rammelt","doi":"10.1016/j.fuspru.2026.03.001","DOIUrl":"10.1016/j.fuspru.2026.03.001","url":null,"abstract":"<div><div>During wartime, complex injuries to the foot and ankle account for approximately 5–8% of all combat injuries, of which up to 80% are blast-related. These injuries are often associated with severe damage to other organs and systems and may be life-threatening.</div><div>Combat-related foot and ankle injuries are characterized by extremely high-energy mechanisms, including shrapnel and mine-explosive trauma. Consequently, they are more frequently open injuries with extensive soft tissue and bone damage and a high risk of infection, requiring urgent specialized surgical care. The decision to amputate a severely injured limb is made individually and has to consider the patient’s overall condition and medical resources.</div><div>The treatment of such complex injuries is typically staged due to the severity of soft tissue damage and cannot be accomplished in a single surgical procedure. Management of severe foot and ankle trauma requires a multidisciplinary approach, often involving plastic surgeons for reconstruction and closure of extensile soft tissue defects.</div><div>The primary goal in the treatment of complex ballistic injuries of the foot is to prevent severe complications and to achieve the earliest possible restoration of limb function. This article presents our wartime experience and treatment approach in patients with combat-related injuries of the foot and ankle.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Pages 112-132"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-05-09DOI: 10.1016/j.fuspru.2026.04.001
{"title":"Einladung zur Mitgliederversammlung der Deutschen Assoziation für Fuß und Sprunggelenk e.V.","authors":"","doi":"10.1016/j.fuspru.2026.04.001","DOIUrl":"10.1016/j.fuspru.2026.04.001","url":null,"abstract":"","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Page 154"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Fuss und SprunggelenkPub Date : 2026-06-01Epub Date: 2026-06-11DOI: 10.1016/j.fuspru.2026.05.001
Konrad Kamin, Marcel Mäder, Kevin Bienger
{"title":"Komplexe Sprengverletzung und Segmentdefekt der Tibia - ein Fallbericht","authors":"Konrad Kamin, Marcel Mäder, Kevin Bienger","doi":"10.1016/j.fuspru.2026.05.001","DOIUrl":"10.1016/j.fuspru.2026.05.001","url":null,"abstract":"<div><h3>Background</h3><div>Blast injuries of the lower extremity are often associated with extensive soft-tissue damage, contamination, and loss of bone substance. These challenging injuries require a multidisciplinary approach.</div></div><div><h3>Methods</h3><div>We report a 35-year-old patient with a complex blast injury of the right lower leg and traumatic amputation of the right hand after explosion of an unauthorized New Year’s Eve firecracker. Initial emergency treatment occurred at a local hospital, where initial transfixation and debridement were performed, followed by completion of the amputation with stump formation at wrist level. Upon first presentation at our center (3 days post-trauma), an infected and necrotic skin graft over the lower leg was observed. Radical repeated debridements, a segmental resection with insertion of a spacer, and defect coverage with a free flap were performed. Subsequently, bony reconstruction was achieved through monoaxial segment transport, followed by conversion to internal fixation after complete defect sanitation using plate osteosynthesis.</div></div><div><h3>Results and conclusion</h3><div>Two years after the injury, a consolidated bony structure is evident in a patient who is asymptomatic and mobile in ordinary footwear with a 1,5 cm leg length discrepancy, using no assistive devices and a fluid gait. The stage-appropriate combination of infection management, sufficient soft tissue coverage, and distraction osteogenesis enables limb-salvage even in extensive defects, employing orthoplastic treatment concepts.</div><div>A staged treatment combining infection control, adequate soft-tissue coverage, and distraction osteogenesis enables limb preservation even in extensive defects when using orthoplastic treatment concepts.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Pages 144-149"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Organization of medical care for the wounded as a result of the Russian–Ukrainian war: Experience of a rear civilian hospital","authors":"Serhii Hariian, Vasyl Makhovskyi, Oleksandr Tsybulskyi","doi":"10.1016/j.fuspru.2026.02.001","DOIUrl":"10.1016/j.fuspru.2026.02.001","url":null,"abstract":"<div><h3>Background</h3><div>The full-scale Russian–Ukrainian war has resulted in an unprecedented number of military and civilian casualties, far exceeding those observed during two decades of the Global War on Terror in Iraq and Afghanistan. The scale, intensity, and prolonged nature of hostilities rapidly overwhelmed the capacity of dedicated military medical facilities, necessitating extensive and sustained integration of civilian healthcare institutions into the military medical evacuation system.</div></div><div><h3>Materials and methods</h3><div>This organizational and retrospective study describes the structure, workflows, and clinical principles applied at a rear civilian hospital in western Ukraine providing definitive care for combat-related extremity injuries.</div></div><div><h3>Results</h3><div>Civilian surgical departments were reorganized to function as echelon 4 facilities, enabling staged fracture management, soft-tissue reconstruction, treatment of infection, and multidisciplinary care despite limited resources and sustained high patient volume.</div></div><div><h3>Conclusions</h3><div>Properly structured rear civilian hospitals represent a critical component of modern military–civilian trauma systems and can successfully deliver high-level combat trauma care.</div></div>","PeriodicalId":39776,"journal":{"name":"Fuss und Sprunggelenk","volume":"24 2","pages":"Pages 107-111"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148546698","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}