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LAY SUMMARY    Combat-related extremity amputations are common injuries during armed conflict. In recent years, improvised explosive devices have been responsible for massive trauma, including major amputations. Many war amputees have functional limitations that affect quality of life. Surgeons can now insert a metal implant directly in the residual bone to provide a stable anchor for the extremity prosthesis. This procedure improves the ability to walk but carries a high risk of infection. Veterans with serious functional limitations due to problems with socket fixation may consider this treatment option after consulting with a specialized team.

Direct skeletal fixation: A new treatment option for Canadian war amputees