Features of the course of gonarthrosis in military personnel during combat operations (review) | Ukrainian Medical Journal

Statistics of research on injuries and wounds during the First and Second World Wars were non-standardized and irregular, so it is quite difficult to compare all parameters of medical injuries, but it is possible to trace certain patterns in the change in the nature of injuries. The most standardized are the results of studies obtained during combat operations in Afghanistan and Iraq (2001–2005). The frequency of gunshot combat injuries has decreased, while the frequency of injuries resulting from explosive mechanisms, such as artillery shells, mines or grenades, has increased. Non-combat injuries of the musculoskeletal system are endemic among deployed military personnel and occur more than three times more often than combat injuries of the musculoskeletal system. The incidence of post-traumatic gonarthrosis due to meniscal injuries in military personnel due to non-combat injuries was almost five times higher than in the civilian population, reflecting the daily challenges encountered during combat deployment. Musculoskeletal injuries are expensive to treat and can lead to long-term disability. Most recommendations are not supported by randomized controlled trials or adequate cohort studies in military personnel, so further efforts are needed to find the best treatment strategies.

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