Table 1 Table showing the six patients presented in this series. All patients were male
From: The Libyan civil conflict: selected case series of orthopaedic trauma managed in Malta in 2014
| Case | Age | Aetiology | Bone injuries | Associated injuries |
|---|---|---|---|---|
| 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 |
