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Extremity War Injuries: Collaborative Efforts in Research, Host Nation Care, and Disaster Preparedness

Pollak, Andrew N. MD; Ficke, COL James R. MD, MC, USA; Injuries, Extremity War IV

Journal of the American Academy of Orthopaedic Surgeons: January 2010 - Volume 18 - Issue 1 - p 3–9
AAOS Symposium

The fourth annual Extremity War Injuries (EWI) Symposium addressed ongoing challenges and opportunities in the management of combat‐related musculoskeletal injury. The symposium, which also examined host‐nation care and disaster preparedness and response, defined opportunities for synergy between several organizations with similar missions and goals. Within the Department of Defense, the Orthopaedic Extremity Trauma Research Program (OETRP) has funded basic research related to a series of protocols first identified and validated at prior EWI symposia. A well‐funded clinical research arm of OETRP has been developed to help translate and validate research advances from each of the protocols. The Armed Forces Institute for Regenerative Medicine, a consortium of academic research institutions, employs a tissue‐engineering approach to EWI challenges, particularly with regard to tissue loss. Programs within the National Institute of Arthritis and Musculoskeletal and Skin Diseases and throughout the National Institutes of Health have also expanded tissue‐engineering efforts by emphasizing robust mechanistic basic science programs. Much of the clinical care delivered by US military medical personnel and nongovernmental agencies has been to host‐nation populations; coordinating delivery to maximize the number of injured who receive care requires understanding of the breadth and scope of resources available within the war zone. Similarly, providing the most comprehensive care to the greatest number of injured in the context of domestic mass casualty requires discussion and planning by all groups involved.

Session Moderators

From the Division of Orthopaedic Trauma, University of Maryland School of Medicine, Baltimore, MD (Dr. Pollak), and the Department of Orthopaedics and Rehabilitation, Brooke Army Medical Center, Fort Sam Houston, TX (Dr. Ficke).

* George Muschler, MD; Roman Hayda, MD; Regis O'Keefe, MD, PhD; CAPT James Panagis, MD, MPH; Joseph Wenke, PhD; LTC Damian Rispoli, MD; Rick Wilkerson, DO; and Christopher Born, MD, FACS.

The opinions or assertions expressed here are those of the authors and do not necessarily reflect those of the Army, Navy, Air Force, or the Department of Defense.

Dr. Pollak or an immediate family member serves as a board member, owner, officer, or committee member of the Orthopaedic Trauma Association; is a member of a speakers' bureau or has made paid presentations on behalf of KCI and Smith & Nephew; serves as a paid consultant to or is an employee of Smith & Nephew and Extra‐Ortho; and has received research or institutional support from AO, KCI, Smith & Nephew, Stryker, Synthes, Wyeth, and Zimmer. Dr. Ficke or an immediate family member serves as a board member, owner, officer, or committee member of the American Orthopaedic Foot and Ankle Society, Society of Military Orthopaedic Surgeons, and Extremity War Trauma Research Foundation. Dr. Muschler or an immediate family member serves as a board member, owner, officer, or committee member of the Orthopaedic Research Society, National Center for Regenerative Medicine, Clinical Tissue Engineering Center, Armed Forces Institute for Regenerative Medicine, and Regenerative Medicine Alliance; has received royalties form DePuy and Acumed; has received research or institutional support from Procter & Gamble, Stryker, Synthes, and Medtronic; has stock or stock options held in Cleveland BioLabs; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non‐research‐related funding (such as paid travel) from Therics and LifeNet. Dr. Hayda or an immediate family member serves as a board member, owner, officer, or committee member of the Orthopaedic Trauma Association and Society of Military Orthopaedic Surgeons; is a member of a speakers' bureau or has made paid presentations on behalf of Synthes and Smith & Nephew; and serves as an unpaid consultant to BioIntraface. Dr. O'Keefe serves as a board member, owner, officer, or committee member of the American Board of Orthopaedic Surgery, Bone and Joint Decade USA, Orthopaedic Research and Education Foundation, Orthopaedic Research Society, Shriners Research Board, and Aircast Research Board (EWTRP); has received royalties from Laget, Acumed, Merck, and Novartis; has received research or institutional support form DePuy; has stock or stock options held in Osteobiologics and Laget; and has received nonincome support (such as equipment or services), commercially derived honoraria, or other non‐research‐related funding (such as paid travel) from Osteobiologics. Dr. Wenke or an immediate family member has received research or institutional support from Smith & Nephew. Dr. Rispoli or an immediate family member is a member of a speakers' bureau or has made paid presentations on behalf of Synthes and has received research or institutional support from Stryker. Dr. Wilkerson or an immediate family member serves as a board member, owner, officer, or committee member of the American Orthopaedic Society for Sports Medicine and Iowa Donor Network. Dr. Born or an immediate family member serves as a board member, owner, officer, or committee member of the American College of Surgeons, Orthopaedic Trauma Association, American Academy of Orthopaedic Surgeons, and the Foundation for Orthopaedic Trauma; is a member of a speakers' bureau or has made paid presentations on behalf of Strkyer, Smith & Nephew, and Illuminoss; and has stock or stock options held in Illuminoss and BioIntraface. Neither Dr. Panagis nor any immediate family member has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article.

© 2010 by American Academy of Orthopaedic Surgeons
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