This study aims to evaluate the relationship between evacuation time, tourniquet use, and the development of post-traumatic stress disorder (PTSD) in patients with combat-related amputations. In the context of modern warfare, prolonged evacuation times and extended tourniquet application may contribute not only to physical injury but also to psychological trauma. The study will prospectively follow patients over 18 months to identify key predictors of PTSD and to assess their interaction.
Ukrainian veterans with combat-related injury (post-February 2022)
Single limb amputation
Admission to rehabilitation within 2-4 months post-injury
Age ≥18 years
Prior PTSD diagnosis before current injury
Multiple amputations
Rehabilitation duration >3 months
Return to active military duty before follow-up completion