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Military Health System

Extremity Trauma and Amputation Center of Excellence


The EACE leads the advancement of extremity trauma related discovery and clinical practice to optimize outcomes of service members, veterans, and beneficiaries while meeting the needs of the Combatant Commands and the Military Health System. The EACE is committed to ensuring a better future for those with extremity trauma. Established by the 2009 National Defense Authorization Act, the ECE is established jointly between the Department of Defense and the Department of Veterans Affairs.

The EACE was originally established to operate with the U.S. Army as its lead component. In October 2022 the EACE aligned to the Defense Health Agency in the Research & Engineering Directorate with the other Congressionally established Centers of Excellence.

Research and SurveillanceClinical AffairsGlobal Health EngagementClinical Informatics Knowledge Management Knowledge Translation

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Legislation and Authority

The EACE was established through Public Law and developed as a Joint effort between the Department of Defense (DoD) and Department of Veterans Affairs (VA).

  • Public Law 110-417: Duncan Hunter National Defense Authorization Act for Fiscal Year 2009
  • Deputy Secretary of Defense Memorandum: Delegated authority to the Under Secretary of Defense (Personnel and Readiness) to establish the EACE
  • Under Secretary of Defense (Personnel and Readiness) Memorandum: Directs the Department of the Army as the Lead Component for the operation of the EACE
  • Under Secretary for Health, Veterans Health Administration and Assistant Secretary of Defense (Health Affairs): Co-Signed a Memorandum of Understanding to establish the Traumatic Extremity Injuries and Amputations Center of Excellence
  • Senior Military Medical Advisory Committee (SMMAC): Designated the Army and Army Medical Department (AMEDD) as the DoD lead component for the EACE
  • DoD-VA Extremity Trauma and Amputation Center Concept of Operations: Approved in January 2012 by the Military Health System (MHS) Centers of Excellence Oversight Board
Last Updated: March 07, 2023
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