Berke Gary M, Fergason John, Milani John R, Hattingh John, McDowell Martin, Nguyen Viet, Reiber Gayle E
J Rehabil Res Dev. 2010;47(4):361-71. doi: 10.1682/jrrd.2009.12.0193.
Prosthetic care is a vital aspect of healthcare and rehabilitation for veterans and servicemembers with major traumatic limb loss. Our survey queried 581 veterans and servicemembers with limb loss from the Vietnam and Operation Iraqi Freedom (OIF)/Operation Enduring Freedom (OEF) conflicts. Among survey participants, 78.2% from the Vietnam conflict and 90.5% from the OIF/OEF conflict currently use prosthetic devices. In Vietnam respondents, 78% received prosthetic care from private sources, 16% from Department of Veterans Affairs (VA) prosthetic laboratories, 0.9% from Department of Defense (DOD), and 5% from multiple sources. In OIF/OEF respondents, 42% received prosthetic care from private sources, 9% percent from VA, 39% from DOD, and 10% from multiple sources. Participants identified their satisfaction with current prosthetic devices and prosthetic services. Reports of pain, sweating, skin irritation, and problems with socket fit continue to be significant issues for participants from both conflicts regardless of level of amputation or site of service. In those with upper-limb loss who used myoelectric prostheses, minimal effect on prosthesis use and satisfaction was noted. Among lower-limb loss participants from both conflicts, notable differences existed in prosthesis satisfaction by source of care.
对于因重大创伤而肢体缺失的退伍军人和现役军人来说，假肢护理是医疗保健和康复的重要方面。我们的调查询问了581名来自越南战争以及伊拉克自由行动（OIF）/持久自由行动（OEF）冲突中肢体缺失的退伍军人和现役军人。在调查参与者中，来自越南冲突的78.2%以及来自OIF/OEF冲突的90.5%目前使用假肢装置。在越南的受访者中，78%从私人渠道接受假肢护理，16%从退伍军人事务部（VA）假肢实验室获得，0.9%从国防部（DOD）获得，5%从多个渠道获得。在OIF/OEF的受访者中，42%从私人渠道接受假肢护理，9%从VA获得，39%从DOD获得，10%从多个渠道获得。参与者表明了他们对当前假肢装置和假肢服务的满意度。疼痛、出汗、皮肤刺激以及接受腔适配问题的报告，对于来自这两场冲突的参与者来说，仍然是重大问题，无论截肢程度或服役部位如何。在使用肌电假肢的上肢缺失者中，对假肢使用和满意度的影响极小。在这两场冲突中下肢缺失的参与者中，护理来源不同，假肢满意度存在显著差异。
