CORR Insights®: How Common Are Chronic Residual Limb Pain, Phantom Pain, and Back Pain More Than 20 Years After Lower Limb Amputation for Malignant Tumors?

Patt, Joshua C.

doi:10.1097/corr.0000000000001829

Cited by 1 publication

(1 citation statement)

References 12 publications

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“…1,[15][16][17] Phantom limb pain (PLP) after amputation of a limb is a common, near-universal problem. 33,34 Although the underlying pathophysiology remains poorly understood, PLP has been defined as the perception of pain or discomfort in a limb that no longer exists and has been reported to reach 28.3% in patients with THP. 15,16 PLP represents a complex challenge with nearly 80% of amputees reporting PLP and surgeons should be prepared to implement a multidisciplinary team to treat this difficult clinical problem.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and Management of Traumatic Hemipelvectomy

Patch

Hess

Spitler

et al. 2022

J Am Acad Orthop Surg

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Traumatic hemipelvectomy (THP) is a catastrophic injury associated with high-energy trauma and high mortality. THP has been defined as a complete dislocation of the hemipelvis, often with disruption through the symphysis pubis and sacroiliac joint with concurrent traumatic rupture of the iliac vessels. Despite recent advances in prehospital resuscitative techniques, the true incidence of THP is difficult to ascertain because many patients die before hospital arrival. The leading causes of death associated with THP include blood loss, infection, and multiple system organ failure. Recognition and immediate intervention for these injuries is imperative for survival. The initial assessment includes a thorough physical examination assessing for signs of arterial damage and other associated injuries. Hemorrhage control and vigorous resuscitation should be prioritized to combat impending exsanguination. Emergent amputation has been found to be a lifesaving operation in these patients. The basis of this approach is rooted in achieving complete hemostasis while reducing complication rates. Understanding the nature of these massive pelvic injuries, the role of early amputation, and the importance of subspecialty communication can improve survivability and optimize patient outcomes.

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