Introduction: Military weapons primarily damage the upper and lower limbs of the body, causing significant structural disruption in these injuries. The goal of limb reconstruction is to keep the extremity's sensorimotor functions, skeletal stability, and adorable aesthetic result.

Materials and methods: This is a descriptive prospective cross-sectional hospital-based study performed to assess presentation of extremities injuries due to war weapon in Khartoum, Sudan, during conflict period July-December 2023. All patients with lower and upper extremities wounds due to combat injury and who underwent reconstructive surgery were included. Patients with concomitant injuries to trunk and head and neck regions were excluded.

Results: Among 200 patients, 82% were male, while 18% were female. The majority of patients, accounting for 28.5%, were between 20 and 30 years old. The lower limb was the most commonly involved extremity (56%), while in 54.9% of cases, the upper limb is dominant. In most cases, all components were injured except for neural and vascular elements. The ratio of fasciocutaneous to muscle flap was 73-27%. Complications were not experienced by more than half of the patients, with infection being the most common complication encountered in 60% of complicated cases.

Conclusion: War-related trauma to the extremities leads to complex wounds with various structural complications, often contaminated, posing a significant challenge during the reconstruction phase. In resource-limited settings, a customized reconstructive ladder may be implemented if free flaps are not an option, utilizing pedicled flaps to achieve satisfactory outcomes.

Keywords: conflict injuries; extremities wounds; limb reconstruction; limbs trauma; pedicled flaps; war trauma.

Copyright © 2025 The Author(s). Published by Wolters Kluwer Health, Inc.

简介： 军事武器主要损伤人体的上肢和下肢，导致这些部位结构破坏严重。肢体重建的目标是保持四肢的感觉运动功能、骨骼稳定性以及美观的效果。

材料与方法： 这项研究是在2023年7月至12月苏丹喀土穆战争期间进行的一项基于医院的前瞻性横断面描述性研究，旨在评估由于战争武器导致四肢损伤的情况。所有因战斗受伤并接受重建手术的上下肢患者均被纳入本研究中。排除了同时受到躯干和头颈部损伤的患者。

结果： 在200名患者中，82%为男性，18%为女性。大多数患者（占28.5%）年龄介于20至30岁之间。下肢是最常受影响的部分（占56%），而上肢在54.9%的病例中占主导地位。大多数情况下，除了神经和血管元素外，所有组成部分均受到损伤。皮瓣手术中筋膜皮瓣与肌瓣的比例为73-27%。超过一半的患者没有经历并发症，在遇到并发症的情况下，感染是最常见的问题（在60%的复杂病例中出现）。

结论： 战争相关的四肢创伤会导致复杂的伤口和各种结构上的并发症，并且常常受到污染，这给重建阶段带来了巨大的挑战。在资源有限的情况下，如果游离皮瓣不是选择，可以实施定制化的重建阶梯，利用血管蒂皮瓣来实现满意的治疗效果。

关键词： 冲突损伤；四肢伤口；肢体重建；四肢创伤；带蒂皮瓣；战争创伤。