Wise Jessica, White Alicia, Stinner Daniel J, Fergason John R
Department of Orthopedics, San Antonio Military Medical Center, Las Vegas, Nevada.
Department of Veteran Affairs Physical Therapy, Center for the Intrepid, San Antonio Military Medical Center, San Antonio, Texas.
Adv Wound Care (New Rochelle). 2017 Aug 1;6(8):253-260. doi: 10.1089/wound.2016.0715.
Amputation rates during recent military conflicts were at an all-time high, but medical treatment of those amputations and attitudes of service members to get back to duty are also surging ahead. We present the cases of an active duty rescue C130 pilot with an above-the-knee amputation and a retired army sergeant with a below-the-knee amputation. Successful rehabilitation was augmented in both cases by using negative pressure incorporated in a custom prosthetic socket to accelerate incision closure, improve self-efficacy in wound care, and self-management, ultimately leading to faster recovery times, full engagement of the rehabilitation process, and return to active duty.
在最近的军事冲突中，截肢率达到了历史最高水平，但针对这些截肢情况的医学治疗以及军人重返岗位的态度也在迅速发展。我们介绍了一名现役C130救援飞行员膝上截肢和一名退役陆军中士膝下截肢的病例。在这两个病例中，通过在定制的假肢接受腔中采用负压来加速切口闭合、提高伤口护理和自我管理的自我效能感，成功增强了康复效果，最终缩短了恢复时间，使康复过程得以充分进行，并重返现役。
