Amputations in US military personnel in the current conflicts in Afghanistan and Iraq

Amputations in US military personnel in the current conflicts in Afghanistan and Iraq

Author(s): Stansbury LG (Stansbury, Lynn G.), Lalliss SJ (Lalliss, Steven J.), Branstetter JG (Branstetter, Joanna G.), Bagg MR (Bagg, Mark R.), Holcomb JB (Holcomb, John B.)
Source: JOURNAL OF ORTHOPAEDIC TRAUMA Volume: 22 Issue: 1 Pages: 43-46 Published: JAN 2008
Times Cited: 0 References: 15
Abstract: Objectives: To determine rates of major limb amputation in U.S. military casualties in the current conflicts in Afghanistan and Iraq, to correlate these with mechanism of injury, and compare the rate with that seen in U.S. casualties from the Vietnam War.
Design: Retrospective study of all US. casualties recorded for the current conflicts from the start in October 1, 2001 to June 1, 2006.

Setting: Records from U.S. military forward surgical teams (Level IIb) and combat support hospitals (Level III) in theater, evacuation (Level IV, Germany), and major military medical centers (Level V, United States).

Patients/Participants: All recorded U.S. military casualties from the Afghanistan and Iraq theaters with injuries requiring evacuation out of theater or prohibiting the individual from returning to duty for more than 72 hours.

Intervention: None.

Main Outcome Measurements: Major limb injury, level of amputation, principal mechanism of injury.

Results: Over the past 56 months, of the 8058 military casualties meeting the listed criteria, 5684 (70.5%) were recorded as having major limb injuries. Of these, 423 (5.2% of all serious injuries; 7.4% of major limb injuries) under-went major limb amputation or amputation at or proximal to the wrist or ankle joint. The mechanism of injury for 87.9% was some form of explosive device. The major amputation rate during Vietnam was 8.3% of major limb injuries.

Conclusions: overall, major limb amputation rates for the current U.S. engagement in Afghanistan and Iraq are similar to those of previous conflicts.

Document Type: Article
Language: English
Author Keywords: trauma epidemiology; amputation rate
KeyWords Plus: CASUALTIES; INJURIES; CARE
Addresses: Branstetter, JG (reprint author), Brooke Army Med Ctr, Dept Orthopaed, 3851 Roger Brooke Dr, Ft Sam Houston, TX 78234 USA
Brooke Army Med Ctr, Dept Orthopaed, Ft Sam Houston, TX 78234 USA
USA, Inst Surg Res, Extrem Trauma Softtissue Branch, Ft Sam Houston, TX 78234 USA
E-mail Addresses: Joanna.Branstetter@amedd.army.mil
Publisher: LIPPINCOTT WILLIAMS & WILKINS, 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
Subject Category: Orthopedics; Sport Sciences
IDS Number: 250HY
ISSN: 0890-5339