Eighteen (55%) subjects were placed on TDRL during at least one of their PEB evaluations prior to final medical retirement.
Of the 18 service members that were placed on TDRL, 7 subjects with an initial muscle condition rating were granted a higher (more disabling) rating at their final retirement evaluation compared to their initial evaluations (35% final rating [range 20%-60%] versus 20% initial rating [range 10%-40%], P=.0313).
The remaining 2 service members had VML disability ratings which did not increase or decrease between their initial TDRL evaluations and their final medical retirement dispositions, one with a 20% VML disability rating and one with a 30% VML disability rating.
ISSs were similar across all branches of service for servicemembers with amputation (Table 4) but substantially (p = 0.05) lower among servicemembers with amputation who were found to be COAD or Fit (16.5, standard error of mean [SEM] = 0.94) compared with those servicemembers with amputation who were TDRL or PR (20.2, SEM = 0.4).
More so, receiving a disposition of COAD, PR, TDRL, or Fit does not mean that each individual can perform the same tasks.
Abbreviations: COAD = continuation on Active Duty, Fit = fit for duty, ISS = Injury Severity Score, MAD = military amputation database, MLA = major limb amputation, OEF = Operation Enduring Freedom, OIF = Operation Iraqi Freedom, OND = Operation New Dawn, PEBLO = Physical Evaluation Liaison Office, PR = permanently retired, RTD = return to duty, SEM = standard error of mean, SWSP = separated with severance pay without disability pay, TDRL = temporarily disabled retired list, ULA = upper-limb amputation.