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Data Trends 2023: Limb Loss and Prostheses
References
  1. US Department of Veterans Affairs. Amputation system of care [fact sheet]. Published December 2022. Accessed April 21, 2023. https://www.prosthetics.va.gov/factsheet/ASoC-FactSheet.pdf
  2. US Department of Veterans Affairs, Office of the Inspector General. Veteran Affairs Inspector General healthcare inspection: prosthetic limb care in VA facilities. Published March 8, 2012. Accessed April 21, 2023. https://www.va.gov/oig/pubs/VAOIG-11-02138-116.pdf
  3. Department of Veterans Affairs; Department of Defense. Clinical Practice Guideline for the Management of Upper Limb Amputation Rehabilitation. Patient Summary. Published March 2022. Accessed April 10, 2023. https://www.healthquality.va.gov/guidelines/Rehab/ULA/VADoDULACPG_PatientSummary_Final_508.pdf
  4. US Government Accountability Office, Report to Congressional Committees. Veterans Health Care: Agency efforts to provide and study prosthetics for small but growing female veteran population. Published November 2020. Accessed April 21, 2023. https://www.gao.gov/assets/gao-21-60.pdf
  5. 117th Congress. Access to Assistive Technology and Devices for Americans Study Act or the Triple A Study Act (H.R.2461). April 13, 2021. Accessed April 21, 2023. https://www.congress.gov/bill/117th-congress/housebill/2461
  6. Russell Esposito E, et al. Prosthet Orthot Int. 2023 Jan 2023. Online ahead of print. doi:10.1097/PXR.0000000000000192
  7. US Department of Veterans Affairs. Center for Limb Loss and MoBility. Updated January 27, 2022. Accessed April 21, 2023. https://www.amputation.research.va.gov/
  8. US Department of Veterans Affairs. Advanced Platform Technology Center. Accessed April 21, 2023. https://www.aptcenter.research.va.gov
  9. Sanchez-Bustamante C. Limb loss: DHA's three advanced rehab centers provide holistic care. Medicine and the Military. Published May 3, 2022. Accessed April 21, 2023. https://health.mil/News/Articles/2022/05/04/Limb-Loss-DHAs-Three-Advanced-Rehab-Centers-Provide-Holistic-Care
  10. Center for Neurorestoration and Neurotechnology. VA Providence Healthcare System. Accessed April 21, 2023. https://centerforneuro.org
  11. Webster JB. OPRA™ patient information sheet. US Department of Veteran Affairs, Rehabilitation and Prosthetic Services. Accessed April 21, 2023. https://www.rehab.va.gov/PROSTHETICS/asoc/resources/OPRA-PatientInformation.pdf
  12. Hoyt BW, et al. Expert Rev Med Devices. 2020;17(1):17-25. doi:10.1080/17434440.2020.1704623
  13. Ewing amputation in veterans with PAD undergoing BKA. ClinicalTrials.gov. Updated October 31, 2022. Accessed April 21, 2023. https://www.clinicaltrials.gov/ct2/show/NCT05437562
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References
  1. US Department of Veterans Affairs. Amputation system of care [fact sheet]. Published December 2022. Accessed April 21, 2023. https://www.prosthetics.va.gov/factsheet/ASoC-FactSheet.pdf
  2. US Department of Veterans Affairs, Office of the Inspector General. Veteran Affairs Inspector General healthcare inspection: prosthetic limb care in VA facilities. Published March 8, 2012. Accessed April 21, 2023. https://www.va.gov/oig/pubs/VAOIG-11-02138-116.pdf
  3. Department of Veterans Affairs; Department of Defense. Clinical Practice Guideline for the Management of Upper Limb Amputation Rehabilitation. Patient Summary. Published March 2022. Accessed April 10, 2023. https://www.healthquality.va.gov/guidelines/Rehab/ULA/VADoDULACPG_PatientSummary_Final_508.pdf
  4. US Government Accountability Office, Report to Congressional Committees. Veterans Health Care: Agency efforts to provide and study prosthetics for small but growing female veteran population. Published November 2020. Accessed April 21, 2023. https://www.gao.gov/assets/gao-21-60.pdf
  5. 117th Congress. Access to Assistive Technology and Devices for Americans Study Act or the Triple A Study Act (H.R.2461). April 13, 2021. Accessed April 21, 2023. https://www.congress.gov/bill/117th-congress/housebill/2461
  6. Russell Esposito E, et al. Prosthet Orthot Int. 2023 Jan 2023. Online ahead of print. doi:10.1097/PXR.0000000000000192
  7. US Department of Veterans Affairs. Center for Limb Loss and MoBility. Updated January 27, 2022. Accessed April 21, 2023. https://www.amputation.research.va.gov/
  8. US Department of Veterans Affairs. Advanced Platform Technology Center. Accessed April 21, 2023. https://www.aptcenter.research.va.gov
  9. Sanchez-Bustamante C. Limb loss: DHA's three advanced rehab centers provide holistic care. Medicine and the Military. Published May 3, 2022. Accessed April 21, 2023. https://health.mil/News/Articles/2022/05/04/Limb-Loss-DHAs-Three-Advanced-Rehab-Centers-Provide-Holistic-Care
  10. Center for Neurorestoration and Neurotechnology. VA Providence Healthcare System. Accessed April 21, 2023. https://centerforneuro.org
  11. Webster JB. OPRA™ patient information sheet. US Department of Veteran Affairs, Rehabilitation and Prosthetic Services. Accessed April 21, 2023. https://www.rehab.va.gov/PROSTHETICS/asoc/resources/OPRA-PatientInformation.pdf
  12. Hoyt BW, et al. Expert Rev Med Devices. 2020;17(1):17-25. doi:10.1080/17434440.2020.1704623
  13. Ewing amputation in veterans with PAD undergoing BKA. ClinicalTrials.gov. Updated October 31, 2022. Accessed April 21, 2023. https://www.clinicaltrials.gov/ct2/show/NCT05437562
References
  1. US Department of Veterans Affairs. Amputation system of care [fact sheet]. Published December 2022. Accessed April 21, 2023. https://www.prosthetics.va.gov/factsheet/ASoC-FactSheet.pdf
  2. US Department of Veterans Affairs, Office of the Inspector General. Veteran Affairs Inspector General healthcare inspection: prosthetic limb care in VA facilities. Published March 8, 2012. Accessed April 21, 2023. https://www.va.gov/oig/pubs/VAOIG-11-02138-116.pdf
  3. Department of Veterans Affairs; Department of Defense. Clinical Practice Guideline for the Management of Upper Limb Amputation Rehabilitation. Patient Summary. Published March 2022. Accessed April 10, 2023. https://www.healthquality.va.gov/guidelines/Rehab/ULA/VADoDULACPG_PatientSummary_Final_508.pdf
  4. US Government Accountability Office, Report to Congressional Committees. Veterans Health Care: Agency efforts to provide and study prosthetics for small but growing female veteran population. Published November 2020. Accessed April 21, 2023. https://www.gao.gov/assets/gao-21-60.pdf
  5. 117th Congress. Access to Assistive Technology and Devices for Americans Study Act or the Triple A Study Act (H.R.2461). April 13, 2021. Accessed April 21, 2023. https://www.congress.gov/bill/117th-congress/housebill/2461
  6. Russell Esposito E, et al. Prosthet Orthot Int. 2023 Jan 2023. Online ahead of print. doi:10.1097/PXR.0000000000000192
  7. US Department of Veterans Affairs. Center for Limb Loss and MoBility. Updated January 27, 2022. Accessed April 21, 2023. https://www.amputation.research.va.gov/
  8. US Department of Veterans Affairs. Advanced Platform Technology Center. Accessed April 21, 2023. https://www.aptcenter.research.va.gov
  9. Sanchez-Bustamante C. Limb loss: DHA's three advanced rehab centers provide holistic care. Medicine and the Military. Published May 3, 2022. Accessed April 21, 2023. https://health.mil/News/Articles/2022/05/04/Limb-Loss-DHAs-Three-Advanced-Rehab-Centers-Provide-Holistic-Care
  10. Center for Neurorestoration and Neurotechnology. VA Providence Healthcare System. Accessed April 21, 2023. https://centerforneuro.org
  11. Webster JB. OPRA™ patient information sheet. US Department of Veteran Affairs, Rehabilitation and Prosthetic Services. Accessed April 21, 2023. https://www.rehab.va.gov/PROSTHETICS/asoc/resources/OPRA-PatientInformation.pdf
  12. Hoyt BW, et al. Expert Rev Med Devices. 2020;17(1):17-25. doi:10.1080/17434440.2020.1704623
  13. Ewing amputation in veterans with PAD undergoing BKA. ClinicalTrials.gov. Updated October 31, 2022. Accessed April 21, 2023. https://www.clinicaltrials.gov/ct2/show/NCT05437562
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The VHA provides care for > 50,000 individuals with major limb loss, including those with amputations secondary to combat.1 Many of these veterans suffer from mental health conditions and diseases of connective tissue and the nervous and musculoskeletal systems.2 In 2022, > 30,000 DoD beneficiaries had some level of upper limb amputation, representing 51.2% of the total population receiving amputation care within the Military Health System.3

The number of female veterans wearing a prosthesis is growing annually; there are unmet needs in the design and fitting of prostheses for these veterans.4 Improvements in prosthetic foot design may help increase social participation and other important outcomes for female veterans.5 Amputation System of Care sites and DoD Advanced Rehabilitation Centers provide additional rehabilitation services to active-duty service members and veterans with limb loss. Research is ongoing into improving amputation surgical techniques and advancing the quality and usability of prostheses, with the goal of helping veterans achieve a better quality of life through more mobility and self-confidence.

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