Care for Ukrainian Conflict Amputees: A Gap Analysis With Recommendations.

Ukrainians have undergone over 100,000 limb amputations, according to United nations reporting in February, 2026; far surpassing the approximately 2,100 U.S. war-related amputees from the Global War on Terror. To meet the needs of war amputees and their families, Ukraine must coordinate national resources, allied nations, humanitarian organizations, charitable foundations, and private industry. We identified major systemic deficits across all stages of amputee care. Key gaps include overload of the trauma and evacuation system, insufficient early and integrated rehabilitation, inadequate prosthetic capacity, lack of qualified mental health professionals and under-resourced mental health services, geographic inequities in access, insufficient long-term follow-up, inadequate data coordination and training, and near-universal residual limb infection at specialty centers. Without coordinated interventions, thousands of Ukrainians risk incomplete recovery and long-term disability. Targeted solutions include early decentralized community rehabilitation services, expanded prosthesis access and longitudinal care, local mental health care, infection control initiatives, dissemination of best practices, and establishment of a national amputee registry.