Hospital Mortality After Major Amputation of the Lower Limbs for Critical Ischemia

Godoy, José María Pereira de; Ribeiro, Janalice Vasconcelos; Caracanhas, Lívia Andrioli

doi:10.2174/1876506800902010004

Cited by 4 publications

(4 citation statements)

References 6 publications

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“…Although the reports of post-amputation deaths are remarkable among adult age groups (13), no case of death was recorded in the current study. Among the 34 participants of the present study, male children dominated their female counterparts by a wide margin.…”

Section: Discussioncontrasting

confidence: 60%

Trauma-related amputations among children in Ghana

et al. 2019

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Introduction: Amputation operations are rare in children and are often performed in emergencies as lifesaving procedures or in elective cases resulting from congenital limb deficiencies. This study aimed to retrospectively examine the pattern of trauma-related amputations among children in Ghana. Methods:Hospital records of the children aged 16 years and younger who underwent trauma-related amputations during May 2015-September 2018 were assessed retrospectively. The data were analyzed using the SPSS software version 24 (IBM, Chicago, USA). Descriptive statistics were used to report the means and frequencies.Results: A total of 34 children had amputation surgeries during the study period. Our findings showed that 5.9% (n=2) of the subjects were female and 94.1% (n=32) were male. Falls as the leading cause accounted for 50% (n=17) of the injuries, followed by personal or interpersonal violence 23.5% (n=8), road traffic accidents 14.7% (n=5), machinery 5.9% (n=2), and birth injuries mainly related to the accidents during child delivery 5.9% (n=2). At the onset of injury, 61.8% (n=21) of the children were taken to hospitals as the first point of call, while 38.2% of the cases (n=13) first referred to bonesetters. According to the records, upper limb amputation 70.6% (n=24) was more frequent than lower limb 29.4% (n=10). Conclusions:A record of thirty-four trauma-related amputations among children over a period of 3.5 years in a single treatment center is remarkable. The living environment of children could predispose them to catastrophic incidents leading to amputations. Therefore, strategies for injury prevention should be developed taking into consideration the contextual factors.

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Section: Discussioncontrasting

confidence: 60%

Trauma-related amputations among children in Ghana

et al. 2019

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“…The wound infection rates following major lower limb amputation vary between 13% and 40%. Methicillin-resistant Staphylococcus aureus (MRSA) is the most common cause of post-amputation infections (10,11). The morbidity and mortality rates usually in- crease as a result of MRSA infection in vascular patients (12)(13)(14).…”

Section: Infection Of the Stumpmentioning

confidence: 99%

Complications of Stump Healing Among Diabetic Population

Ashraff¹,

Siddiqui²,

Santos³

et al. 2018

Turk J Endocrinol Metab

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“…The incidence of wound infection has been shown to range from 13 to 40%, [41][42][43][44] although the majority of studies have been conducted in patients with critical peripheral vascular disease as an indication for amputation. Post-operative infection is adversely associated with revision surgery, time to heal, length of hospital stay or 30-day morbidity and mortality rates.…”

Section: Post-operative Wound Infection/osteomyelitismentioning

confidence: 99%

Multimodality imaging review of the post-amputation stump pain

Subedi¹,

Heire²,

Parmer³

et al. 2016

The British Journal of Radiology

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Limb amputation is one of the oldest known surgical procedures performed for a variety of indications. Little surgical technical improvements have been made since the first procedure, but perioperative and post-operative refinements have occurred over time. Post-amputation pain (PAP) of the stump is a common complication but is an extremely challenging condition to treat. Imaging allows early diagnosis of the underlying cause so that timely intervention is possible to minimize physical disability with its possible psychological and socioeconomic implications. A multidisciplinary approach should be taken involving the rehabilitation medicine team, surgeon, prosthetist, occupational therapist and social workers. Conventional radiographs demonstrate the osseous origin of PAP while high-resolution ultrasound is preferred to assess soft-tissue abnormalities. These are often the first-line investigations. MRI remains as a problemsolving tool when clinical and imaging findings are equivocal. This article aimed to raise a clear understanding of common pathologies expected in the assessment of PAP. A selection of multimodality images from our Specialist Mobility and Rehabilitation Unit are presented so that radiologists are aware of and recognize the spectrum of pathological conditions involving the amputation stump. These include but are not limited to aggressive bone spurs, heterotopic ossification, soft-tissue inflammation (stump bursitis), collection, nervosas, osteomyelitis etc. The role of the radiologist in reaching the diagnosis early is vital so that appropriate treatment can be instituted to limit long-term disability. The panel of authors hopes this article helps readers identify the spectrum of pathological conditions involving the post-amputation stump by recognizing the imaging features of the abnormalities in different imaging modalities.

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Hospital Mortality After Major Amputation of the Lower Limbs for Critical Ischemia

Cited by 4 publications

References 6 publications

Trauma-related amputations among children in Ghana

Trauma-related amputations among children in Ghana

Complications of Stump Healing Among Diabetic Population

Multimodality imaging review of the post-amputation stump pain

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