Johnson W Brett, Young Aaron, Goldman Stephen, Wilson Jon, Alderete Joseph F, Childers W Lee
Research and Surveillance Division, Extremity Trauma and Amputation Center for Excellence, San Antonia, TX 78234, USA.
Center for the Intrepid, Brooke Army Medical Center, San Antonia, TX 78219, USA.
Wearable Technol. 2023 Feb 28;4:e5. doi: 10.1017/wtc.2022.26. eCollection 2023.
The treatment and evacuation of people with lower limb fractures in austere environments presents unique challenges that assistive exoskeletal devices could address. In these dangerous situations, independent mobility for the injured can preserve their vital capabilities so that they can safely evacuate and minimize the need for additional personnel to help. This expert view article discusses how different exoskeleton archetypes could provide independent mobility while satisfying the requisite needs for portability, maintainability, durability, and adaptability to be available and useful within austere environments. The authors also discuss areas of development that would enable exoskeletons to operate more effectively in these scenarios as well as preserve the health of the injured limb so that definitive treatment after evacuation will produce better outcomes.
在严峻环境中对下肢骨折患者进行治疗和后送面临着独特挑战，而辅助外骨骼设备或许能够应对这些挑战。在这些危险情况下，受伤者的自主移动能力可维持其重要机能，从而使他们能够安全后送，并尽量减少对额外协助人员的需求。这篇专家观点文章讨论了不同类型的外骨骼如何提供自主移动能力，同时满足在严峻环境中可用且有用所需的便携性、可维护性、耐用性和适应性要求。作者还讨论了一些发展领域，这些领域将使外骨骼在这些场景中更有效地运行，并保护受伤肢体的健康，以便后送后的确定性治疗能产生更好的效果。
