Return to Duty After Type III Open Tibia Fracture
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
Pagination or Media Count:
Introduction Despite the high incidence of battlefield orthopaedic injuries, long term outcomes and return to duty RTD status have rarely been studied. Our purpose was to determine the RTD rate for soldiers who sustained Type III open tibia fractures in active combat. Methods One hundred fifteen soldiers who sustained battle related Type III open tibia fractures were retrospectively reviewed. The Army Physical Evaluation Board database was reviewed to determine which soldiers were able to RTD and the disability ratings of those not able to RTD. Results The overall RTD rate was 18, isolated open fractures had a RTD rate of 22, salvaged extremities had a RTD rate of 20.5, and amputees had a RTD rate of 12.5. Older age and higher rank were both significant factors in increasing the likelihood of RTD and amputees had significantly higher disability ratings than those with salvaged extremities. Conclusion Despite the severe nature of combat extremity wounds, 20 of patients with salvaged Type III open tibia fractures and 22 with isolated injuries were able to return to active duty. These rates are similar to those reported for civilian amputees. Amputees in our cohort were less likely to RTD.
- Medicine and Medical Research
- Military Forces and Organizations