Department of Orthopaedic Surgery, San Antonio Military Medical Center, Fort Sam Houston, Texas 78234, USA.
J Arthroplasty. 2013 Sep;28(8):1270-3. doi: 10.1016/j.arth.2013.02.028. Epub 2013 Jul 3.
With an increasing incidence, individuals are undergoing total joint arthroplasty at a younger age. This study evaluated the likelihood of return to duty and deployment to the combat zone after major joint arthroplasty and their relationship to functional outcome. Retrospectively, service members having undergone major joint arthroplasty completed the Short Musculoskeletal Function Assessment and a deployment specific questionnaire; 93.3% (n=42/45) follow-up was achieved with the average time from surgery being 4 1/2 years. Eighty-six percent of patients returned to duty. Of those, at least 70% were able to deploy to the combat zone and all were able to complete a full tour as assigned. No statistical significance was seen between those that deployed and those that did not in both the bothersome index and functional assessment scores. Total joint arthroplasty presents an effective intervention when appropriately indicated in a young active population seeking the ability to continue a military career.
随着发病率的增加，越来越多的年轻人需要进行全关节置换术。本研究评估了在进行大关节置换术后重返工作岗位和部署到作战区的可能性及其与功能结果的关系。回顾性地，接受过大关节置换术的军人完成了短肌肉骨骼功能评估和特定于部署的问卷；45 名军人中的 93.3%（n=42）获得了随访，平均手术时间为 4 年半。86%的患者返回工作岗位。其中，至少 70%的人能够部署到作战区，所有人都能够按照分配完成整个任务。在令人困扰指数和功能评估分数方面，部署和未部署的患者之间没有统计学意义。在寻求继续军旅生涯的年轻活跃人群中，全关节置换术是一种有效的干预措施，只要适当。
