Table 1 Table showing the six patients presented in this series. All patients were male

1

40

IED, blast injury

Left subtrochanteric femoral fracture, right open ankle fracture, missing calcaneum (Gustilo-Anderson type IIIC)

Posterior parietal soft tissue contusion, right lower limb traumatic vascular dysfunction, sepsis

2

50

IED and GSW

Right open elbow fracture (Gustilo-Anderson type IIIB), left open comminuted mid-shaft humeral fracture (Gustilo-Anderson type IIIC)

Brachial and ulnar artery erosion, multiple metallic foreign bodies

3

32

GSW/RPG

Left comminuted proximal femur fracture (Gustilo-Anderson type IIIA), right open tibia/fibular fracture (Gustilo-Anderson type IIIB), right superior and inferior pubic rami fracture, T12 vertebral body fracture

Neurological compromise left leg with sciatic nerve palsy, bilateral lung contusion

4

22

Direct GSW

Right comminuted open knee complex fracture (Gustilo-Anderson type IIIB)

Neurological status right leg impaired, but vascular status leg intact

5

26

IED/Car bomb

T5 metal foreign body, right scapular and rib fracture

Paraplegia, left pneumothorax, multiple metallic foreign bodies, Deep venous thrombosis left leg

6

27

Above ground explosive blast

Right lateral four ray traumatic amputation, extensive soft tissue loss lateral aspect of leg

Loss of sensation along superficial peroneal nerve distribution. No other significant injuries