Kift Sara H, Bates Taylor J, Franklin Nathan A, Johnson Anthony E
US Army Med Dep J. 2017 Jul-Sep(2-17):57-61.
Return to duty following traumatic amputations has been extensively studied in those with lower extremity amputation. As upper extremity amputations occur less frequently, the issue of return to duty for those with upper extremity amputations has received relatively little research. The purpose of this study was to determine the rate at which service members remain on active duty at least one year after having sustained traumatic upper extremity amputations during Operation Iraqi Freedom, Operation Enduring Freedom, and other overseas contingency operations of the Global War on Terrorism.
Retrospective.
Military, Academic Level 1 trauma center.
One hundred eighteen patients who sustained combat-related upper extremity amputations between October 2001 and December 2011.
Data was obtained from the medical record for these 118 patients.
Percentage of service member remaining on active duty one year following an upper extremity amputation, and evaluation of demographic and injury related factors associated with retention.
The overall rate for the upper extremity amputees studied at one year from injury who remained on active duty was 47%. Officers were more likely to remain on active duty than their enlisted counterparts (P=.021) and patients who sustained burns were also more likely to remain on active duty than patients with similar amputation types without concomitant burn injuries (P=.039).
The rate of service members with traumatic upper extremity amputations who were still on active duty status 1-year postinjury was 47%. The presence of burns and rank were significant factors when examining retention on active duty. Further study on war casualties who sustain upper-extremity traumatic amputations with and without burns is required to optimize outcomes in this population.
下肢截肢者伤后重返工作岗位的情况已得到广泛研究。由于上肢截肢发生频率较低，上肢截肢者重返工作岗位的问题相对较少受到研究。本研究的目的是确定在伊拉克自由行动、持久自由行动以及全球反恐战争的其他海外应急行动中遭受上肢创伤性截肢的军人在至少一年后仍继续服现役的比例。
回顾性研究。
军事、学术一级创伤中心。
2001年10月至2011年12月期间118例遭受与战斗相关上肢截肢的患者。
从这118例患者的病历中获取数据。
上肢截肢一年后仍继续服现役的军人比例，以及对与留用相关的人口统计学和损伤相关因素的评估。
本研究中上肢截肢患者伤后一年仍继续服现役的总体比例为47%。军官比士兵更有可能继续服现役（P = 0.021），遭受烧伤的患者也比截肢类型相似但无并发烧伤的患者更有可能继续服现役（P = 0.039）。
上肢创伤性截肢的军人伤后1年仍处于现役状态的比例为47%。在研究继续服现役情况时，烧伤的存在和军衔是重要因素。需要对有和没有烧伤的上肢创伤性截肢战争伤员进行进一步研究，以优化该人群的治疗效果。
