Patzkowski Jeanne C, Blanck Ryan V, Owens Johnny G, Wilken Jason M, Blair James A, Hsu Joseph R
Orthopaedic Surgery Service, Department of Orthopaedics and Rehabilitation, San Antonio Military Medical Center, San Antonio, TX, USA.
J Surg Orthop Adv. 2011 Spring;20(1):8-18.
The current military conflicts of Operation Enduring Freedom and Operation Iraqi Freedom have been characterized by high-energy explosive wounding patterns, with the majority affecting the extremities. While many injuries have resulted in amputation, surgical advances have allowed the orthopaedic surgeon to pursue limb salvage in the face of injuries once considered unsalvageable. The military limb salvage patient is frequently highly active and motivated and expresses significant frustration with the slow nature of limb salvage rehabilitation and continued functional deficits. Inspired by these patients, efforts at this institution began to provide them with a more dynamic orthosis. Utilizing techniques and technology resulting from cerebral palsy, stroke, and amputation research, the Intrepid Dynamic Exoskeletal Orthosis was created. To date, this device has significantly improved the functional capabilities of the limb salvage wounded warrior population when combined with a high-intensity rehabilitation program. Clinical and biomechanical research is currently underway at this institution in order to fully characterize the device, its effect on patients, and what can be done to modify future generations of the device to best serve the combat-wounded limb salvage population.
“持久自由行动”和“伊拉克自由行动”当前的军事冲突具有高能爆炸致伤模式的特点，多数伤员的四肢受到影响。虽然许多损伤导致了截肢，但外科技术的进步使骨科医生能够在面对曾被认为无法挽救的损伤时进行保肢治疗。军事保肢患者通常非常活跃且积极性高，对保肢康复进展缓慢和持续存在功能缺陷表达了极大的沮丧。受这些患者的启发，本机构开始努力为他们提供一种更具动态性的矫形器。利用脑瘫、中风和截肢研究产生的技术和工艺，研制出了“无畏动态外骨骼矫形器”。迄今为止，当与高强度康复计划相结合时，该装置显著提高了保肢受伤战士群体的功能能力。本机构目前正在进行临床和生物力学研究，以全面了解该装置、其对患者的影响，以及如何改进该装置的后续型号，以便更好地服务于战伤保肢群体。
