Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors.
Posttraumatic osteoarthritis caused by battlefield injuries: the primary source of disability in warriors.
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DOI：
10.5435/jaaos-20-08-s64
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Johnson AE
中科院分区：
文献类型：
--
作者：
Rivera JC;Wenke JC;Buckwalter JA;Ficke JR;Johnson AE
陆军身体评估委员会对之前描述的队列中受伤战士的结果进行了审查，以确定永久性残疾状况，以及这些状况是预先存在的还是由战场伤害造成的。关节炎是这一队列中最常见的不适条件，94.4%的病例可归因于战伤，只有5.6%的病例可归因于先前存在的疾病或在战伤前的健康记录中记录。导致关节炎的最常见的损伤原因是继发于爆炸的关节内骨折、碎片射出造成的创伤性关节切开术和枪伤。损伤后平均19±10个月，关节炎被认为是一种致残状态。需要研究加强关节损伤的预防和管理，以最大限度地减少这一年轻患者群体中关节退行性变的致残影响。
The Army Physical Evaluation Board results for wounded warriors from a previously described cohort were reviewed to identify permanently disabling conditions and whether the conditions were preexisting or caused by battlefield injury. Arthritis was the most common unfitting condition in this cohort, with 94.4% of cases attributed to combat injury and only 5.6% attributed to preexisting conditions or documented in the health records prior to battle injury. The most common causes of injury that resulted in arthritis were intra-articular fractures secondary to explosions, traumatic arthrotomies resulting from fragment projectiles, and gunshot wounds. Arthritis was recognized as a disabling condition an average of 19 ± 10 months after injury. Research is needed to enhance prevention and management of joint injuries in order to minimize the disabling effects of joint degeneration in this young patient population.