Article

Multiple-limb loss due to war-theater injuries results in a unique group of
servicemembers requiring intensive rehabilitation and diverse prosthetic devices.
This article compares the Vietnam and the Operation Iraqi Freedom/Operation
Enduring Freedom (OIF/OEF) groups with war-theater-associated multiple-limb loss
to document significant changes in health status, prosthetic-device use, and
long-term prognosis. During 2007 and 2008, a national survey queried 73 Vietnam
veterans and 61 OIF/OEF servicemembers sustaining multiple-limb loss. Average
years since limb loss are 39 for Vietnam veterans and 3 for OIF/OEF
servicemembers. Self-rated health status was excellent or very good in 38.9% of
the Vietnam group and 60.7% of the OIF/OEF group (p = 0.01). More of the OIF/OEF
group than the Vietnam group reported performing high-impact aerobic activities,
18% versus 3% (p = 0.005). The OIF/OEF group currently uses more diverse
prosthetic-device types than the Vietnam group. Based on Vietnam veterans'
39-year experience, the long-term prognosis for OIF/OEF servicemembers with
multiple-limb loss is an active, fulfilling life. The healthcare team caring for
these patients should carefully address proper prosthesis fit and maintenance of
good health and function.

Langue : ANGLAIS