A meta-analysis of amputation versus limb salvage in mangled lower limb injuries—The patient perspective

Akula, M.; Gella, Sreenadh; Shaw, C. J.; McShane, Paul; Mohsen, Ala

doi:10.1016/j.injury.2010.05.003

Cited by 117 publications

(64 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These mean scores are substantially better than those reported by multiple authors for early amputation [5,8,24]. Akula, et al reported the mean physical scores for early amputation were 16.2, and 15.6 for the psychological SIP [1]. MacKenzie 2005 reported mean physical and psychosocial scores at 24 and 84 months; for below knee amputees the physical scores were 9.4 at 24 months, and 16.4 at 84 months.…”

Section: Discussionmentioning

confidence: 81%

“…There was no difference between the two groups for functional outcomes at seven years, but the limb salvage group had a significantly longer rehabilitation time, more surgical procedures, and a higher rate of complications. Akula, et al, performed a meta-analysis investigating amputation versus limb salvage from the patient's perspective, and noted that reconstruction is psychologically more acceptable [1]. Similar to Busse, et al, they reported there, were no significant between group differences for functional outcomes [1,7].…”

Section: Discussionmentioning

confidence: 96%

See 1 more Smart Citation

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Merwe

Birkholtz

Tetsworth

et al. 2016

Injury

View full text Add to dashboard Cite

Purpose:The purpose of this study was to evaluate the functional and psychological outcomes of patients who underwent delayed lower limb amputation following failed limb salvage surgery. Methods:This retrospective, descriptive study evaluated functional outcomes using the Sickness Impact Profile (SIP) and Short Form-36 (SF-36) in 12 patients. Inclusion criteria included patients who underwent limb reconstruction and delayed amputation between between July 2006 and December 2014, with an age range between 18-80 years of age, the ability to ambulate independently, a time interval between the last salvage procedure and amputation greater than six months, and a minimum follow-up of 24 months. Patients were contacted via telephone by the principal investigator and both the Sickness Impact Profile (SIP) and Short Form-36 (SF-36) were completed. Descriptive analysis (means and standard deviation) was used to determine outcomes for both SIP and SF-36 health profiles. Results:Ten patients who had amputations following failed reconstruction (2006-2014) with a mean age of 53+10 years were interviewed. Six patients had a SIP < 5, three patients scored between five and 10 points and one scored >10 points. The main deficit on the SF-36 was in the physical component. The SF-36 scores demonstrated a mean score of 40.8+11.5 for the physical component, and 57.4+7.9 for the mental component. Three patients returned to work after amputation and continued performing their pre-injury duties as farmers.Three other patients returned to work, but were allocated to administrative duties. Two patients were pensioners at the time of their injuries, and the only female patient was a housewife. One patient went into early retirement. Conclusion:The results of this study strongly suggest that delayed amputation following failed limb salvage surgery can still result in good and satisfactory outcomes in the majority of patients and achieves results similar to early amputation and limb reconstruction techniques.

show abstract

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 96%

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Merwe

Birkholtz

Tetsworth

et al. 2016

Injury

View full text Add to dashboard Cite

show abstract

“…At follow-up the situation is reversed, meaning that the scores are in line with or higher than those previously reported. 3,31,32,42,43 To our knowledge, the SF-6D has not been previously described for individuals with amputations. The mean improvement in the SF-6D in the current study was .039.…”

Section: Figmentioning

confidence: 98%

Outcome of Percutaneous Osseointegrated Prostheses for Patients With Unilateral Transfemoral Amputation at Two-Year Follow-Up

Hagberg

Hanssoń

Brånemark

2014

Archives of Physical Medicine and Rehabilitation

View full text Add to dashboard Cite

“…In the literature, it is stated that MESS scoring gives more accurate results in the lower limbs and in pediatric cases. [11,12] However, there are still debates about the use of MESS scoring in the upper limb. According to Slauterbeck et al, [6] MESS scoring is as a good predictor for amputation in the upper extremity injuries.…”

Section: Discussionmentioning

confidence: 99%

Histopathological evaluation of the arterial wall damage in upper limb injuries

Özçınar¹

2017

Turk Gogus Kalp Dama

View full text Add to dashboard Cite

ÖZAmaç: Bu çalışmada, üst ekstremite ezilme yaralanmaları arter duvarındaki histopatolojik değişikliklere göre değerlendirildi ve erken ve geç dönem klinik sonuçlar bildirildi.Ça lış ma pla nı: Şubat 2011 -Kasım 2013 tarihleri arasında üst ekstremite ezilme yaralanması olan 12 hastanın (9 erkek, 3 kadın; ort. yaş 33.3±11.7 yıl; dağılım 18-57 yıl) prospektif olarak toplanan verileri retrospektif olarak incelendi. Hastaların tümünün Ezilmiş Ekstremite Şiddet Skoru ≥7 idi ve tümünde ciddi vasküler yaralanma bulguları vardı. Ortopedik stabilizasyon sonrasında vasküler rekonstrüksiyon yapıldı. Hemodinamik stabilizasyon sonrasında, rutin olarak dijital substraksiyon anjiyografi çekildi. Revaskülarizasyon işlemi sırasında, hasarlı arter damarları çıkarıldı ve formalin solüsyonunda saklandı. Endotelyal şişme, intimal kalınlaşma, kas tabakasındaki hücresel vaküolizasyon, tunika medyadaki ödem ve nekrozun derecesi değerlendirildi.Bul gu lar: Yaralanma beş hastada işe bağlı kazalar ve yedi hastada motorlu araç kazaları ile ilişkiliydi. Tüm hastalara ven greft interpozisyonu uygulandı (12; %100). Primer açıklık oranı %75 idi ve bir hasta kaybedildi (30 günlük mortalite %8.3). On iki hastada üç amputasyon yapıldı. Medyan takip süresi 3.2 (dağılım: 2.1-3.7) yıl idi. Alınan örneklerin mikroskopik incelemesinde vasküler konjesyon ve trombüs oluşumu, ilerleyici subintimal diseksiyon ve elastik internanın membranında yırtılma olduğu belirlendi.So nuç: Çalışma sonuçlarımız Ezilmiş Ekstremite Şiddet Skoruna göre amputasyon endikasyonu olsa da, ekstremite kurtarma işlemlerinin uygulanmasını önermektedir.Anah tar söz cük ler: Ezilme yaralanması; patolojik değerlendirme; üst ekstremite revaskülarizasyonu. ABSTRACTBackground: This study aims to evaluate the upper limb crush injuries according to the histopathological changes in the arterial vessel and to report the early and late clinical outcomes.

show abstract

A meta-analysis of amputation versus limb salvage in mangled lower limb injuries—The patient perspective

Cited by 117 publications

References 27 publications

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Functional and psychological outcomes of delayed lower limb amputation following failed lower limb reconstruction

Outcome of Percutaneous Osseointegrated Prostheses for Patients With Unilateral Transfemoral Amputation at Two-Year Follow-Up

Histopathological evaluation of the arterial wall damage in upper limb injuries

Contact Info

Product

Resources

About