Traumatic amputations in children and adolescents

Roche, AM; Selvarajah, K.

doi:10.1302/0301-620x.93b4.25719

Cited by 7 publications

(9 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Moreover, we found falls as the most common cause of amputation among the study participants (50%), followed by interpersonal violence (23.5%) and road traffic accidents (14.7%). However, this is not in line with the results of the previous studies that reported power tools (4), vehicular accidents (6), and burns (8,14) as the primary causes of trauma among children. Our findings suggest that environmental factors play a role in these incidents An essential aspect of the costs in the treatment procedure of trauma-related amputations is associated with the length of hospital stay.…”

Section: Discussioncontrasting

confidence: 87%

See 1 more Smart Citation

Trauma-related amputations among children in Ghana

et al. 2019

View full text Add to dashboard Cite

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.

show abstract

Section: Discussioncontrasting

confidence: 87%

“…Although there are variations based on geographical locations, most studies suggest the most frequent causes of childhood traumatic amputations as power tools, road traffic accidents, machinery, and gun-related wounds (3)(4)(5). Male children are more frequently reported as the victims, compared to their female counterparts (2,(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Trauma-related amputations among children in Ghana

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Patients' medical records often contain valuable information about the changes that the individual and the prosthetic service have undergone longitudinally, as evident in earlier studies. [27][28][29][30] Past studies (excluding self-reports, questionnaire-based surveys, or interviews) assessing the costs and/or repair patterns associated with UL prostheses and capturing the patient demographics have involved analyzing veteran database 10,21,22 ; insurance claims database 20 ; a retrospective analysis of the clinical records from a regional prosthetic rehabilitation center [27][28][29][30][31] ; use of secondary data from a local UL prosthetic clinic database 32 ; use of data from Workers' Compensation Board 23 ; a combination of expert consensus, survey questionnaires, and Medicare price guidelines to project future prostheses costs 24 ; and so on. There is very little literature about UL prosthetic repair rates, particularly in the United kingdom.…”

mentioning

confidence: 99%

Upper-Limb Prosthetic Maintenance Data: A Retrospective Analysis Study

et al. 2021

View full text Add to dashboard Cite

IntroductionUnderstanding repair patterns of upper-limb (UL) prosthetic devices have received little attention compared with their lower-limb counterparts. This study focuses on a retrospective analysis of anonymized UL prosthetic maintenance data to establish if there were any patterns of repairs at a regional prosthetic limb-fitting center in the United Kingdom. A secondary aim of this study is to describe the patient demographics of this center.MethodsData containing prosthetic repair log and demographic description (n = 212) were acquired through our clinical partners and subjected to statistical analyses.ResultsOn average, each client visited the center 0.2 times/year for a new device and 0.9 times/year for maintenance-related activities. It is found that the repair rates are generally higher for body-powered devices (1.28 visits/device per year) compared with passive (0.94 visits/device per year) and externally powered devices (0.90 visits/device per year). In keeping with the typical UK UL-deficient population, there is a high male-to-female ratio, and higher instances of traumatic amputations were noticed for males at the center. There is a very high preponderance of congenital cases and an overall emphasis on prescribing passive devices to a majority of patients at the center.ConclusionsThe data from our study are similar to previously published data from other centers and show a consistent pattern in terms of relative rates of maintenance attendances for different types of UL prostheses.Clinical RelevanceThis study provides a longitudinal perspective and insights on ever-changing requirements (prostheses and related care) of the users at the level of a regional limb-fitting center. This study underscores current gaps in prosthetic device durability/reliability and opens up avenues for improvement of prosthetic services and devices.

show abstract

“…Nevertheless, the rate is substantially higher in the conflict population than clinicians may be accustomed to. Similarly, 18 traumatic paediatric lower limb amputations in 2011 in Camp Bastion alone equates to a number that a major trauma centre might expect to see over four or five decades 28…”

Section: Discussionmentioning

confidence: 99%

Understanding the burden of injury in children from conflict: an analysis of radiological imaging from a Role 3 hospital in Afghanistan in 2011

et al. 2023

View full text Add to dashboard Cite

IntroductionThere is a need for quality medical care for children injured in conflict, but a description of injuries and injury burden from blast and ballistic mechanisms is lacking. The radiology records of children imaged during the war in Afghanistan represent a valuable source of information about the patterns of paediatric conflict injuries.MethodsThe UK military radiological database was searched for all paediatric presentations to Camp Bastion during 2011. Reports and original images were reviewed to determine location and severity of injuries sustained. Additional information was obtained from imaging request forms and the Joint Theatre Trauma Register, a database of those treated at UK medical facilities in Iraq and Afghanistan.ResultsRadiology was available for 219 children. 71% underwent CT scanning. 46% suffered blast injury, 22% gunshot wounds (GSWs), and 32% disease and non-battle injuries (DNBIs). 3% had penetrating head injury, 11% penetrating abdominal trauma and 8% lower limb amputation, rates far exceeding those found in civilian practice. Compared with those with DNBI, those with blast or GSW were more likely to have serious (Abbreviated Injury Score, AIS, ≥3) injuries (median no. AIS ≥3 injuries were 1 for blast, 1 for GSW and 0 for DNBI, p<0.05) and children exposed to blast were more likely to have multiple body regions with serious injuries (OR for multiple AIS ≥3 injuries for blast vs DNBI=5.811 CI [1.877 to 17.993], p<0.05).ConclusionsPaediatric conflict injuries are severe, and clinicians used only to civilian practice may be unprepared for the nature and severity of injuries inflicted on children in conflict. Whole-body CT for those with conflict-related injuries, especially blast, is hugely valuable. We recommend that CT is used for paediatric assessment in blast and ballistic incidents and that national imaging guidelines amend the threshold for doing so.

show abstract

Traumatic amputations in children and adolescents

Cited by 7 publications

References 15 publications

Trauma-related amputations among children in Ghana

Trauma-related amputations among children in Ghana

Upper-Limb Prosthetic Maintenance Data: A Retrospective Analysis Study

Understanding the burden of injury in children from conflict: an analysis of radiological imaging from a Role 3 hospital in Afghanistan in 2011

Contact Info

Product

Resources

About