Suchergebnisse

There is currently no consensus on the appropriate sports and occupational restrictions for military service members with a joint replacement. Data from the United States show that 14% of military patients complete an operational deployment after the index surgery. No published data are available on arthroplasty in the militaries of other North Atlantic Treaty Organization countries. Research is needed to determine the appropriate medical employment limitations for Canadian Armed Forces members with a knee or hip replacement. Service members wanting to continue military service should be carefully screened to ensure that their duties do not compromise the longevity of the implant and that the risk of mission-threatening complications is minimal.

LAY SUMMARY Combat-related extremity amputations are common injuries during armed conflict. In recent years, improvised explosive devices have been responsible for massive trauma, including major amputations. Many war amputees have functional limitations that affect quality of life. Surgeons can now insert a metal implant directly in the residual bone to provide a stable anchor for an extremity prosthesis. This procedure improves the ability to walk but carries a high risk of infection. Veterans with serious functional limitations due to problems with socket fixation may consider this treatment option a?er consulting with a specialized team.

The nature of the current and future battlespace will require adaptive solutions to provide troops with timely damage-control surgery and resuscitation. A light surgical module, the Mobile Surgical Resuscitation Team (MSRT), was developed to meet this need for Canadian Special Operations Forces. The team is composed of six Canadian Health Services Group clinicians specialized in the delivery of trauma care in remote environments. In addition to care delivery, the MSRT can provide simulation training to allied nations and presents an ideal platform for the introduction of emerging science and technology to the field environment.