[Orthopaedics/trauma surgery in military aviation medical assessment].

Abstract

Background: The article describes the important role of orthopaedics and, in particular, the spine in military (and civilian) aviation medicine. This concerns both the selection for use as a military pilot and crewmember and the regular and long-term specialised orthopaedic/aeromedical care of pilots.

Diagnostics: In modern orthopaedics/traumatology, MRI imaging of the spine is an important diagnostic tool. We handle the image findings with care. Our decision on military aeromedical fitness to fly is always a synthesis of the medical history, physical examination, imaging (MRI) and consideration of the occupational stresses and hazards in the military aircraft.

Assessment: If a candidate, active pilot or crew member does not fulfil the medical requirements in accordance with the Central Service Regulation of the German Air Force A1/831/0-4008, they have the possibility to apply for an aeromedical waiver. In a case-by-case assessment and re-assessment, what speaks for aeromedical fitness and what speaks against it are weighed up. The application for an aeromedical waiver can be rejected or granted, in orthopaedics often with restrictions on the aeromedical fitness, e.g. no use on jets with ejection seats, no use in helicopters.