Hrutkay J M, Hirsch E, Hockenbury T
Orthopedic Service, 212th MASH, Camp Pleso, Zagreb, Croatia.
Mil Med. 1995 Apr;160(4):199-202.
From November 1992 to April 1993, the 212th Mobile Army Surgical Hospital (MASH) was deployed from Germany to Zagreb, Croatia, to provide medical support for the United Nations Protection Force serving in the former Yugoslavia. A 60-bed deployable medical systems hospital was established. The usual MASH 72-hour evacuation policy was extended to 30 days; the orthopedic equipment inventory and surgical capability were increased significantly. Eighty-three orthopedic surgical procedures were performed during a 5-month period on soldiers from 14 nations. Sixty-two (75%) of these procedures were non-emergent, including internal fixation of fractures, bone and skin grafting, and arthroscopy. There were no documented early infections; the complication rate was acceptable. Orthopedic aftercare was supplemented by physical therapy and the capability of prosthetic fitting for amputees. The majority of soldiers (60%) received definitive orthopedic surgical care in theater. The feasibility of performing non-emergent orthopedic procedures in a field environment was demonstrated. Expanded medical support for other similar missions may be required in the future.
1992年11月至1993年4月，第212移动陆军外科医院从德国部署到克罗地亚萨格勒布，为在前南斯拉夫服役的联合国保护部队提供医疗支持。建立了一家拥有60张床位的可部署医疗系统医院。常规的陆军外科医院72小时后送政策延长至30天；骨科设备库存和手术能力显著增加。在5个月的时间里，为来自14个国家的士兵进行了83例骨科手术。其中62例（75%）为非紧急手术，包括骨折内固定、骨与皮肤移植以及关节镜检查。没有记录到早期感染情况；并发症发生率可以接受。骨科术后护理通过物理治疗以及为截肢者安装假肢的能力得到补充。大多数士兵（60%）在战区接受了确定性的骨科手术治疗。证明了在野外环境中进行非紧急骨科手术的可行性。未来可能需要为其他类似任务提供扩大的医疗支持。
