Gajewski Donald, Granville Robert
Surgical Services, Amputee Care Program, Walter Reed Army Medical Center, Washington, DC, USA.
J Am Acad Orthop Surg. 2006;14(10 Spec No.):S183-7. doi: 10.5435/00124635-200600001-00040.
United States military amputees are treated at either Walter Reed Army Medical Center (Washington, DC) or Brooke Army Medical Center (Fort Sam Houston, TX). At each center, a multidisciplinary team from more than a dozen specialties works together to address the psychological, social, vocational, and spiritual needs of our soldiers, marines, sailors, and airmen, as well as their physical rehabilitation. Excellent outcomes are being achieved with the current practices of the Armed Forces Amputee Care Program, but a great deal of evidence-based research must be done to determine the optimal time to close the wound, the etiology of heterotopic ossification in blast injury, the factors determining optimal socket design, and the best sequence and timing for introduction of different prosthetic technologies in the rehabilitation process.
美国军事截肢者在沃尔特·里德陆军医疗中心（华盛顿特区）或布鲁克陆军医疗中心（得克萨斯州萨姆休斯顿堡）接受治疗。在每个中心，一个由十多个专业组成的多学科团队共同努力，满足我们的士兵、海军陆战队队员、水手和飞行员在心理、社会、职业和精神方面的需求，以及他们的身体康复需求。武装部队截肢者护理计划目前的做法取得了出色的成果，但必须开展大量基于证据的研究，以确定伤口闭合的最佳时间、爆炸伤中异位骨化的病因、决定最佳接受腔设计的因素，以及在康复过程中引入不同假肢技术的最佳顺序和时机。
