Long-term Outcomes of Patients Undergoing War-related Amputations of the Foot and Ankle

Servicemembers and veterans with major traumatic limb loss from Vietnam war and OIF/OEF conflicts: Survey methods, participants, and summary findings

“…These findings are consistent with other studies of limb loss that reported prevalence of phantom pain ranging from 59 to 79 percent [45,[49][50]52]. Von Korff et al categorized phantom pain intensity using the Chronic Pain Grade [53].…”

“…Chronic healthcare issues identified by study participants with traumatic limb loss are persistent pain (back, phantom limb, and residual-limb pain), skin problems, and psychological issues [45][46][47][48]. We were unable to conduct a comprehensive pain inventory as part of this survey; thus, we did not collect important dimensions of pain, such as the specific frequency, intensity, and duration for each type of pain.…”

Quality of Life Among Veterans With War-Related Unilateral Lower Extremity Amputation: A Long-Term Survey in a Prosthesis Center in Iran

“…In a former study on 27 Iranian veterans with war-related amputations of the foot and ankle after 17 years, residual limb pain was detected in 44.4%, phantom sensation in 40.7%, and phantom pain among 22.2% of them. 5 In the study of Wartan et al 19 on 500 British veteran amputees, residual limb pain, phantom sensation, and phantom pain were reported in 56%, 67%, and 55%, respectively. These symptoms were significantly more prevalent in our study compared with other reports.…”

“…Similar to World War II and the Vietnam War, 2,3 fragmentation munitions including land mines, bombs, grenades, mortars, and so on, were the most prevalent cause of wartime amputations in both upper and lower extremities. 4,5 The purpose of the current investigation was to assess long-term functional outcome and physical and mental HRQOL among Iranian veteran unilateral lower limb amputes and to determine the factors contributing to a poor HRQOL. By improving the factors that have an adverse effect on the long-term HRQOL, it may be possible to give more efficient rehabilitative services to these patients.…”

Long-term clinical outcomes of war-related bilateral lower extremities amputations

“…It seems that in bilateral lower limbs and hip and pelvic amputations, shells are more causative whereas in unilateral transtibial [9] and transfemoral [10] amputations land mines are (Table 7). Amongst upper extremity [11] and foot and ankle amputations [12], land-mines and shells, had the same effect (Table 7). In our study, amongst different amputation types, we had the same status.…”