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Amputation Is Not Isolated: An Overview of the US Army Amputee Patient Care Program and Associated Amputee Injuries

Dr. Potter is Chief Resident, Orthopaedic Surgery Service, Department of Orthopaedics and Rehabilitation, Walter Reed Army Medical Center, Washington, DC. Dr. Scoville is Program Manager, U.S. Army Amputee Patient Care Program, Department of Orthopaedics and Rehabilitation, Walter Reed Army Medical Center.

None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Potter and Dr. Scoville.

The views expressed in this manuscript are those of the authors and do not reflect the official policy of the Department of Army, Department of Defense, or U.S. Government. All authors are employees of the United States Government. This work was prepared as part of their official duties and as such, there is no copyright to be transferred.

Rates of amputation as a percentage of all combat injuries have increased significantly since the Korean War. Following traumatic and combat-related amputation, definitive treatment and rehabilitation require a large, multidisciplinary team to provide comprehensive medical and supportive care. Associated injuries are remarkably frequent, complicating treatment and potentially delaying rehabilitation and/or limiting outcomes. Patient and family psychosocial issues also must be assessed and appropriately addressed. The US Army Amputee Patient Care Program, with the support of numerous other government and private organizations, has been developed to meet the comprehensive medical, rehabilitative, and social needs of amputees injured in the current global war on terrorism, with the goal of maximizing subsequent patient outcomes utilizing a sports medicine approach.