Orthopaedic and Trauma Research Center, Mashhad University of Medical Sciences, Mashhad, 91766-99199, Iran.
J Bone Joint Surg Am. 2013 Aug 21;95(16):e114(1-6). doi: 10.2106/JBJS.L.01160.
The Iran-Iraq war (1980 to 1988) was one of the longest wars of the twentieth century. Few studies are available in the current literature evaluating the long-term results of proximal lower-extremity war-related amputations. The purpose of the present cross-sectional study was to evaluate the current health-related quality of life and clinical musculoskeletal function of Iranian veterans with hip or hemipelvic amputation.
Seventy-six patients from a cohort of eighty-four veterans with hip disarticulation and transpelvic amputation participated in this study. A Persian version of Medical Outcomes Study Short Form-36 (SF-36) was completed for all of the veterans.
The average duration of follow-up was 26.6 ± 3.7 years. The average age (and standard deviation) of the veterans was 44.1 ± 7.0 years. The average scores for the physical and mental health dimensions of the SF-36 were 45.85 ± 21.56 and 57.98 ± 25.19, respectively. These data indicate that the amputees were doing better in the mental domain than in the physical domain. Forty-five patients with a primary amputation (97.8%) and ten with a secondary amputation (33.3%) complained of pain in the amputation stump.
Veterans with proximal lower-extremity amputation will need life-long care. Supervision starts with stump management and the application of appropriate surgical techniques at the time of the injury and continues with periodic examination throughout life.
两伊战争（1980 年至 1988 年）是 20 世纪持续时间最长的战争之一。目前的文献中几乎没有评估与下肢近端相关的战争性截肢的长期结果的研究。本横断面研究的目的是评估伊朗退役军人髋关节或半骨盆截肢后目前与健康相关的生活质量和临床肌肉骨骼功能。
从 84 名髋关节离断和经骨盆截肢的退役军人队列中，有 76 名患者参加了这项研究。所有退役军人都完成了波斯语版医疗结局研究短表-36（SF-36）。
平均随访时间为 26.6 ± 3.7 年。退役军人的平均年龄（标准差）为 44.1 ± 7.0 岁。SF-36 的身体和心理健康维度的平均得分为 45.85 ± 21.56 和 57.98 ± 25.19，这表明截肢者在心理领域的表现优于身体领域。45 名初次截肢患者（97.8%）和 10 名二次截肢患者（33.3%）抱怨截肢残端疼痛。
下肢近端截肢的退役军人需要终身护理。监督始于残端管理和受伤时应用适当的手术技术，并在整个生命周期内定期进行检查。
