Non-battle injuries among U.S. Army soldiers deployed to Afghanistan and Iraq, 2001–2013

Patel, Avni; Hauret, Keith G.; Taylor, Bonnie; Jones, Bruce H.

doi:10.1016/j.jsr.2016.11.004

Cited by 32 publications

(12 citation statements)

References 19 publications

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“…Previous research on NBI has focused on the anatomical region injured, aggregate rates of NBI in conjunction with medical disease, 15,16 and investigations specific to single military services. 5,7,[17][18][19][20] Aside from the 12-year analysis by Patel et al, 14 previous analyses of NBI have examined only limited periods.…”

mentioning

confidence: 99%

A 12-Year Analysis of Nonbattle Injury Among US Service Members Deployed to Iraq and Afghanistan

Gurney

Nnamani

et al. 2018

JAMA Surg

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mentioning

confidence: 99%

A 12-Year Analysis of Nonbattle Injury Among US Service Members Deployed to Iraq and Afghanistan

Gurney

Nnamani

et al. 2018

JAMA Surg

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“…High rates of pain conditions were also found and may be explained by the physically intensive work demands of the participants. Military work is often unpredictable and demanding, 30 and deployed soldiers endure high rates of non-battle injury 31 and poly-traumatic injuries. 32 Pain conditions could be sequelae of past injuries, considering that injury-induced arthritis 33 and injury-related disc degeneration 34 do occur.…”

Section: Openmentioning

confidence: 99%

Prevalence of comorbid chronic pain and mental health conditions in Canadian Armed Forces active personnel: analysis of a cross-sectional survey

Vun¹,

Turner²,

Sareen³

et al. 2018

cmajo

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C hronic pain, physical conditions and mental disorders are prevalent among military personnel. Chronic pain estimates in former members of the Canadian Armed Forces (CAF) are estimated to be about 41%. 1 Although some research has shown higher chronic pain estimates in the Canadian veteran population compared with the general population, 2 other studies have shown comparable prevalence estimates among the two populations. 3 In addition, there are no recent estimates of the prevalence of chronic pain in the serving CAF. Canadian regular force veterans have higher rates of conditions characterized by pain, including arthritis, back pain and bowel disorders compared with the general population. 4 High estimates of mental health conditions are also seen. In 2002, the Canadian Community Health Survey Canadian Forces Supplement (CCHS-CF) showed significantly higher pastyear prevalence rates of depression and panic disorder among regular members of the CAF compared with the rates seen in the general population. 5 High prevalence rates in the CAF are corroborated by more recent research, with the prevalence of general anxiety disorder being twice as high as that of the general population in 2008. 4

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“…Most injuries (up to 82%) are to the extremities [5]. In addition to combat injuries, more than 30% of all airlift evacuations for medical care from Afghanistan and Iraq between 2001 and 2013 were due to non-battle injuries (NBI) [6]. More broadly, NBI in and out of theater accounted for 34.1% of all casualties between 2003 and 2014, including 18.8% due to vehicle crashes [7].…”

Section: Introductionmentioning

confidence: 99%

“…More broadly, NBI in and out of theater accounted for 34.1% of all casualties between 2003 and 2014, including 18.8% due to vehicle crashes [7]. Of NBI during Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF), 8% in Afghanistan and 11% in Iraq were due to military vehicle-related accidents [6].…”

Section: Introductionmentioning

confidence: 99%

Successful Treatment of War Zone Traumatic Lower Extremity Wound With Exposed Tendons Using an Autologous Homologous Skin Construct

Johnson

Nelson

Estabrooke³

et al. 2020

Cureus

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Extremity injuries are common in contemporary combat and have become more prevalent as fatality rates have dropped to historic lows. Traumatic extremity wounds, especially those sustained in theater, often present with exposed structures such as tendon, bone, and joint, preventing the use of split-thickness skin grafts (STSG) for coverage. Traditional reconstructive options for these complex wounds include skin substitute with delayed STSG, local flaps, debridement of tendons, pedicled distant flaps (such as cross-leg flap), free tissue transfer, and amputation. STSG, whether on top of skin substitutes or after tendon debridement, can result in contracture and functional limitations in the extremities. Flap reconstructions require prolonged procedures, hospital stays, and periods of immobility. As an alternative to traditional reconstructive options, an autologous homologous skin construct (AHSC) uses a small fullthickness elliptical skin harvest from the patient, which is sent to a biomedical manufacturing facility, processed into AHSC, and can be returned and applied to a wound bed as soon as 48 hours after harvest and used up to 14 days after harvest. We present in this case report the treatment of a 42 cm 2 complex dorsolateral ankle wound with exposed tendons in an active duty soldier following a rollover motor vehicle accident sustained in theater. After application of AHSC, the soldier's wound closed in nine weeks with pliable, sensate skin. The patient retained function without contractures limiting ankle motion or adhesions limiting tendon gliding. The successful treatment of this complex war zone injury with AHSC has allowed the soldier to quickly participate in unrestricted physical therapy and is on a trajectory for nearterm return to active duty.

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Non-battle injuries among U.S. Army soldiers deployed to Afghanistan and Iraq, 2001–2013

Cited by 32 publications

References 19 publications

A 12-Year Analysis of Nonbattle Injury Among US Service Members Deployed to Iraq and Afghanistan

A 12-Year Analysis of Nonbattle Injury Among US Service Members Deployed to Iraq and Afghanistan

Prevalence of comorbid chronic pain and mental health conditions in Canadian Armed Forces active personnel: analysis of a cross-sectional survey

Successful Treatment of War Zone Traumatic Lower Extremity Wound With Exposed Tendons Using an Autologous Homologous Skin Construct

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