The amputation of the upper limb, especially of the hand, is a serious trauma with significant functional and psychological impact. Treatment options include adaptation to the stump, use of prostheses, and composite tissue transplantation. Unfortunately, in Colombia, to date, there are no epidemiological data that characterize the sociodemographic and clinical variables of patients with upper limb amputation.
ResultsFrom a sample of 443 amputee patients, eight were selected that met the inclusion criteria. There were 7/8 men (87%) aged 43 years. A total of 75% came from rural areas. In 3/8 patients, there was amputation of the dominant limb. The most common mechanisms were shear trauma and crushing in the context of an occupational accident. A total of 50% had a complete extra-hospital amputation, and reimplantation was not attempted in any of the cases. The most frequent levels of amputation were the proximal and distal third of the forearm. The longest follow-up time was 12 months. Only two patients mentioned the possibility of using a prosthesis during rehabilitation.
ConclusionsThree young patients were identified, without comorbidities, with amputation of the dominant limb in the context of an occupational accident and without the possibility of rehabilitation with prostheses who benefit from a possible future hand transplant. However, it is necessary to implement a composite tissue transplantation program and public health policies that allow this procedure to be performed in Colombia.
El astrocitoma pilocítico (AP) es el tumor más común del sistema nervioso central (SNC) en la población pediátrica. Es considerado un glioma circunscrito debido a su curso benigno. Aparece como una lesión bien determinada, típicamente quística, con un nódulo mural hiperintenso. Tiene una lenta tasa de crecimiento y baja celularidad. El AP se origina principalmente en el cerebelo, la vía óptica y la región hipotalámica/quiasmática. Se presenta un caso inusual de diseminación de un AP de fosa posterior al canal espinal en una adolescente de 16 años.
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