Comprehensive rehabilitation of a serviceman with triple limb amputation following combat polytrauma: a case study from Ukraine’s wartime context
DOI:
https://doi.org/10.2340/jrm.v57.42950Keywords:
multiple amputations, war-related injuries, patient care team, artificial limbs, biopsychosocial model, physical and rehabilitation medicineAbstract
The ongoing war in Ukraine has led to a significant rise in combat-related polytrauma injuries, including high-level multiple amputations, delayed evacuations, infectious complications, and limited access to rehabilitation services. This clinical case demonstrates a comprehensive, patient-centred approach to the rehabilitation of a 25-year-old serviceman with triple amputations caused by a mine-blast injury. The patient progressed through pre-prosthetic and prosthetic rehabilitation stages, achieved independent mobility with prosthetics, transitioned to the K3 functional level, and adapted to his independent life. The success of this case underscores the importance of a multidisciplinary approach, modern technologies, and adherence to evidence-based rehabilitation practices. The leading role of the physical and rehabilitation medicine physician was pivotal in coordinating and adjusting the rehabilitation process, ensuring the optimal use of available resources, and aligning the patient’s care with clinical goals. Challenges such as delays in rehabilitation initiation and limited resources highlight the need to expand inpatient rehabilitation capacity and standardize protocols. A coordinated bio-psycho-social rehabilitation model must be the framework for increasing the effectiveness of rehabilitation services and optimizing functioning and quality of life after severe injuries. Implementing multidisciplinary approaches tailored to wartime settings is crucial for combatants’ effective recovery and reintegration.
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Stevens RA, Baker MS, Zubach OB, Samotowka M. Misuse of tourniquets in Ukraine may be costing more lives and limbs than they save. Mil Med 2024; 189: 304–308.
https://doi.org/10.1093/milmed/usad503 DOI: https://doi.org/10.1093/milmed/usad503
Donaghy A, Keszler MS, Bonilla CA. The physiatrist’s approach to limb loss. Phys Med Rehabil Clin N Am 2024; 35: 691–705.
https://doi.org/10.1016/j.pmr.2024.05.004 DOI: https://doi.org/10.1016/j.pmr.2024.05.004
Pasquina PF, Miller M, Carvalho AJ, Corcoran M, Vandersea J, Johnson E, et al. Special considerations for multiple limb amputation. Curr Phys Med Rehabil Rep 2014; 2: 273–289.
https://doi.org/10.1007/s40141-014-0067-9 DOI: https://doi.org/10.1007/s40141-014-0067-9
White Book on Physical and Rehabilitation Medicine (PRM) in Europe. Chapter 6. Knowledge and skills of PRM physicians. Eur J Phys Rehabil Med 2018; 54: 214–229.
https://doi.org/10.23736/S1973-9087.18.05150-X DOI: https://doi.org/10.23736/S1973-9087.18.05150-X
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Copyright (c) 2025 Serhii Kolisnyk, Oleh Muryn, Olha Svyst
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