title: Multiple traumatic limb loss: a comparison of Vietnam veterans to OIF/OEF servicemembers.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USA. pauldoug@med.umich.edu
authors.forename: Paul J
authors.initials: PJ
authors.lastname: Dougherty
authors.forename: Lynne V
authors.initials: LV
authors.lastname: McFarland
authors.forename: Douglas G
authors.initials: DG
authors.lastname: Smith
authors.forename: Alberto
authors.initials: A
authors.lastname: Esquenazi
authors.forename: Donna Jo
authors.initials: DJ
authors.lastname: Blake
authors.forename: Gayle E
authors.initials: GE
authors.lastname: Reiber
mesh_terms: D000203:Activities of Daily Living; D055826:Afghan Campaign 2001-; D000673:Amputation, Traumatic / Q000534:rehabilitation*; D005260:Female; D006306:Health Surveys; D006801:Humans; D054542:Iraq War, 2003-2011; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D009104:Multiple Trauma / Q000534:rehabilitation*; D017060:Patient Satisfaction; D019736:Prostheses and Implants / Q000706:statistics & numerical data*; D011788:Quality of Life; D014728:Veterans; D047829:Vietnam Conflict; D055815:Young Adult