Clinic of Orthopedics and Traumatology, Saint-Anne Military Teaching Hospital, Toulon 83000, France.
French Military Health Service Academy, Ecole du Val-de-Grâce, Paris 75005, France.
Mil Med. 2022 Oct 29;187(11-12):1376-1380. doi: 10.1093/milmed/usab400.
Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery.
We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category.
A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery).
Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.
每位法国军队骨科医生既是骨科医生，也是创伤外科医生。他们的任务是为法国武装部队及其部署提供支持。本研究旨在描述法国军队骨科手术的类型。我们的假设是计划性手术比创伤手术更为常见。
我们对法国四家军事平台医院骨科部门的军事患者的手术活动进行了回顾性描述性分析。收集了 2020 年期间进行的所有手术。我们将手术分为以下几类：重型和轻型创伤、创伤后重建手术、运动医学手术、退行性疾病手术和专科手术。我们的主要终点是每种类别进行的手术数量。
共有 827 人接受了手术，其中 91 人（11%）是从部署中返回的医疗人员。其余 736 名在法国本土的士兵（89%）进行了 181 次（24.6%）创伤手术（其中 86.7%为轻度创伤）和 555 次（75.4%）计划性手术（其中 60.8%为运动医学手术）。在返回的医疗人员中，有 71 次创伤学手术（78%，其中 87.3%为轻度创伤学）和 20 次通常进行计划性手术的手术（22%，其中 95%为运动医学手术）。
军队骨科医生不仅仅是创伤外科医生；他们的军队活动多种多样，主要是所谓的计划性干预。
