title: Long-term clinical outcomes of war-related hip disarticulation and transpelvic amputation.
abstract: BACKGROUND
  The Iran-Iraq war (1980 to 1988) was one of the longest wars of the twentieth century. Few studies are available in the current literature evaluating the long-term results of proximal lower-extremity war-related amputations. The purpose of the present cross-sectional study was to evaluate the current health-related quality of life and clinical musculoskeletal function of Iranian veterans with hip or hemipelvic amputation.
  
  
  METHODS
  Seventy-six patients from a cohort of eighty-four veterans with hip disarticulation and transpelvic amputation participated in this study. A Persian version of Medical Outcomes Study Short Form-36 (SF-36) was completed for all of the veterans.
  
  
  RESULTS
  The average duration of follow-up was 26.6 ± 3.7 years. The average age (and standard deviation) of the veterans was 44.1 ± 7.0 years. The average scores for the physical and mental health dimensions of the SF-36 were 45.85 ± 21.56 and 57.98 ± 25.19, respectively. These data indicate that the amputees were doing better in the mental domain than in the physical domain. Forty-five patients with a primary amputation (97.8%) and ten with a secondary amputation (33.3%) complained of pain in the amputation stump.
  
  
  CONCLUSIONS
  Veterans with proximal lower-extremity amputation will need life-long care. Supervision starts with stump management and the application of appropriate surgical techniques at the time of the injury and continues with periodic examination throughout life.
authors: Orthopaedic and Trauma Research Center, Mashhad University of Medical Sciences, Mashhad, 91766-99199, Iran. Ebrahimzadehmh@mums.ac.ir
authors: Mohamad H
authors: MH
authors: Ebrahimzadeh
authors: Amir Reza
authors: AR
authors: Kachooei
authors: Mohamad Reza
authors: MR
authors: Soroush
authors: Ebrahim Ghayem
authors: EG
authors: Hasankhani
authors: Shiva
authors: S
authors: Razi
authors: Ali
authors: A
authors: Birjandinejad
mesh_terms: D000328:Adult; D000368:Aged; D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps / Q000601:surgery; D000674:Amputees / Q000523:psychology*; D003430:Cross-Sectional Studies; D004188:Disarticulation / Q000379:methods*; D006615:Hip / Q000601:surgery*; D006801:Humans; D007492:Iran; D007493:Iraq; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000601:surgery*; D010591:Phantom Limb / Q000601:surgery; D016896:Treatment Outcome; D014728:Veterans / Q000523:psychology*; D014857:Warfare