National Geographic : 2006 Dec
How Injured 11,995 IED (improvised explosive device) 2,852 Artillery, mortar, rocket 1,673 Gunshot 1,617 Weapons effect injuries (shrapnel wounds and others) 485 Other 3,137 Cause unknown U.S. totals, March 2003 to Sept. 15, 2006 AMPUTATION I As of September 15, 2006, 468 soldiers have lost a limb; 78 have lost more than one. Perhaps because of the power of an IED blast, many amputees suffer a mysterious complication: abnormal bone growth called heterotopic ossification. CASE STUDY The left leg of a 38-year-old soldier was amputated below the knee afteran lED attack causedopen fractures and arterialbleeding. 1 Nearly half the amputees at Walter Reed have experienced heterotopic ossification -a rare and sometimes painful condition in which bone grows into areas where soft tissue has been shredded. After this soldier's amputation, healthy bone grew unchecked, trapping his femoral artery. 2 Surgeons waited months for the bone to stop growing. CT scans were turned into a 3-D image of the leg (right), then a model was made to guide surgeons so they could cut away excess bone without damaging the femoral artery. Radiation therapy followed to prevent the bone from growing back. KNEE AMPUTATION EDGE IRAQ: HOME FRONT 103 INJURED BONE NORMAL BONE SHAPE Hidden Damage Of 692 TBI patients at Walter Reed between January 2003 and April 2006, nearly 90 percent had non-penetrating head injuries - c oncussive wounds that may not be immediately apparent. Expected levels of recovery Pre-injury cognitive function TBI Mild TBI levels Moderate w Severe / Nearly 60 percent S/ of TBI cases at Walter Reed are moderate or severe; the patient will not recover to S Coma pre-injurylevels. Impacts of TBI include reduced cognitive function, such as memory loss, and behavioral changes, including depression, anxiety, aggression, sleep disorders.