2017
DOI: 10.1097/md.0000000000007068
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Predictors of secondary amputation in patients with grade IIIC lower limb injuries

Abstract: The aim of this study was to identify risk factors for failure of limb salvage surgery in grade IIIC lower extremity injuries.A single-institution, retrospective review was performed of all patients with grade IIIC lower limb injuries presenting from January 2009 to April 2014. We gathered the data on each patient who underwent limb salvage and analyzed the final outcome for these patients (limb salvage vs secondary amputation).Grade IIIC lower limb injuries were identified in 41 patients. Primary amputation w… Show more

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Cited by 11 publications
(10 citation statements)
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References 27 publications
(38 reference statements)
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“…Comparable results have also been reported in civilian patients with open bone fractures. In particular, deep infection or chronic osteomyelitis is also a morbid condition among these patients that generally results in non-union and requires multiple operative procedures, including late or secondary amputations [24][25][26][27][28][29][30][31].…”
Section: Discussionmentioning
confidence: 99%
“…Comparable results have also been reported in civilian patients with open bone fractures. In particular, deep infection or chronic osteomyelitis is also a morbid condition among these patients that generally results in non-union and requires multiple operative procedures, including late or secondary amputations [24][25][26][27][28][29][30][31].…”
Section: Discussionmentioning
confidence: 99%
“…To investigate factors involved in limb salvage versus amputation Song et al (28) analysed Gustilo-Anderson grade 3C lower limb fractures, noting a 12% secondary amputation rate. They state that the commonest reason for secondary amputation is extensive soft tissue defect with muscle necrosis (28).…”
Section: Decision Making: Limb Salvage Vs Amputationmentioning
confidence: 99%
“…To investigate factors involved in limb salvage versus amputation Song et al (28) analysed Gustilo-Anderson grade 3C lower limb fractures, noting a 12% secondary amputation rate. They state that the commonest reason for secondary amputation is extensive soft tissue defect with muscle necrosis (28). Risk factors associated with this were complex fracture patterns, warm ischaemia time over 6 hours, development of compartment syndrome and MESS greater than 7.…”
Section: Decision Making: Limb Salvage Vs Amputationmentioning
confidence: 99%
“…A crush above the knee is worse than below the knee. Blunt trauma is worse than penetrating injuries, but blast injuries have the worst outcome (1,12,29,53,(60)(61)(62)(63). In a Swedish study, the need for soft tissue reconstruction (an indicator of trauma severity) was a significant predictor for amputation within three months after accidents (14).…”
Section: Extent Of the Local Injurymentioning
confidence: 99%