Long-term clinical outcomes of Iranian veterans with unilateral transfemoral amputation

Ebrahimzadeh, Mohammad H.; Fattahi, Asieh Sadat

doi:10.1080/09638280902810968

Cited by 39 publications

(50 citation statements)

References 17 publications

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“…The prevalence is approximately 50-63 per cent following transfemoral amputation and 36-41 per cent after transtibial amputation. In contrast, the prevalence of knee pain in matched controls is approximately 20 per cent 17,18,21 . Contralateral joint pain is thought to arise from a combination of gait abnormalities and increased physiological loads on intact joints.…”

Section: Contralateral Joint Painmentioning

confidence: 87%

“…Traumatic amputees are more than twice as likely to develop knee pain in their intact limb as non-amputees 21 ; the risk increases with amputation level 17,18,21 . The prevalence is approximately 50-63 per cent following transfemoral amputation and 36-41 per cent after transtibial amputation.…”

Section: Contralateral Joint Painmentioning

confidence: 99%

“…With this, psychological disorders are common. Mid-and long-term follow-up has shown that more than half of traumatic amputees develop a formal psychological diagnosis 11,17,18,22 . Posttraumatic stress disorder (PTSD), anxiety, depression and substance abuse are the most common, and often coexist.…”

Section: Psychological Responsesmentioning

confidence: 99%

“…Back pain occurs in 52-81 per cent of traumatic amputees 8,15,17 -20 , a considerably higher prevalence than in the general population. Back pain may be more common after above-knee than below-knee amputation 15,17,18 . The increased susceptibility is thought to be the result of the myofascial changes following amputation and the altered gait pattern developed to accommodate a prosthesis 15,20 .…”

Section: Back Painmentioning

confidence: 99%

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Factors affecting outcome after traumatic limb amputation

Perkins

De’Ath

Sharp

et al. 2011

British Journal of Surgery

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Background: Traumatic leg amputation commonly affects young, active people and leads to poor longterm outcomes. The aim of this review was to describe common causes of disability and highlight therapeutic interventions that may optimize outcome after traumatic leg amputation.Methods: A comprehensive search of MEDLINE, Embase and Cumulative Index to Nursing and Allied Health Literature databases was performed, using the terms 'leg injury', 'amputation' and 'outcome'. Articles reporting outcomes following traumatic leg amputation were included.Results: Studies demonstrated that pain, psychological illness, decreased physical and vocational function, and increased cardiovascular morbidity and mortality were common causes of disability after traumatic leg amputation. The evidence highlights that appropriate preoperative management and operative techniques, in conjunction with suitable rehabilitation and postoperative follow-up, can lead to improved treatment outcome and patient satisfaction. Conclusion:Patients who undergo leg amputation after trauma are at risk of poor long-term physical and mental health. Clinicians involved in their care have many opportunities to improve their outcome using a variety of therapeutic variables.

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Section: Contralateral Joint Painmentioning

confidence: 87%

Section: Contralateral Joint Painmentioning

confidence: 99%

Section: Psychological Responsesmentioning

confidence: 99%

Section: Back Painmentioning

confidence: 99%

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Factors affecting outcome after traumatic limb amputation

Perkins

De’Ath

Sharp

et al. 2011

British Journal of Surgery

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“…The 8-year Iran-Iraq war was one of the longest military conflicts in the 20th century, which caused more than 1 million deaths and injuries including amputations [1]. Upper extremity amputation is one of these disastrous consequences, forcing many people to adapt to such injuries during their life [2]. Although surgical procedures on injured vessels, bones, nerves and other soft tissues has diminished the rate of amputation due to these injuries, amputation due to extremity trauma is still a main cause of morbidity in developing countries [3].…”

Section: Introductionmentioning

confidence: 99%

A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

et al. 2016

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BackgroundUpper limb amputations are one of the unpleasant war injuries that armed forces are exposed to frequently.The present study aimed to assess the musculoskeletal and peripheral nervous systems in Iraq-Iran war veterans with bilateral upper extremity amputation.MethodsThe study consisted of taking a history and clinical examinations including demographic data, presence and location of pain, level of amputation, passive and active ranges of movement of the joints across the upper and lower extremities and spine, manual palpation, neurological examination, blood circulation pulses and issues related to a prosthetic limb. In this study, 103 Iranian bilateral upper extremity amputees (206 amputations) from the Iran-Iraq war were evaluated, and a detailed questionnaire was also administered.ResultsThe most common level of amputation was the finger or wrist level (108, 52.4 %). Based on clinical examination, we found high frequencies of limited active and passive joint range of movement across the scapula, shoulder, elbow, wrist and metacarpophalangeal, interphalangeal and thumb joints. Based on muscle strength testing, we found varying degrees of weakness across the upper limbs. Musculoskeletal disorders included epicondylitis (65, 31.6 %), rotator cuff injury (24, 11.7 %), bicipital tendonitis (69, 33.5 %), shoulder drop (42, 20.4 %) and muscle atrophy (19, 9.2 %). Peripheral nerve disorders included carpal tunnel syndrome in 13 (6.3 %) and unilateral brachial plexus injury in 1 (1 %). Fifty-three (51.5 %) were diagnosed with facet joint syndrome at the level of the cervical spine (the most frequent site). Using a prosthesis was reported by 65 (63.1 %), both left and right sides. The back was the most common site of pain (71.8 %).ConclusionThe high prevalence of neuro-musculoskeletal disorders among bilateral upper extremity amputees indicates that they need regular rehabilitation care.

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Amputation Surgeries for the Lower Limb

Grimm¹,

Potter²

2020

Orthotics and Prosthetics in Rehabilitation

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Long-term clinical outcomes of Iranian veterans with unilateral transfemoral amputation

Cited by 39 publications

References 17 publications

Factors affecting outcome after traumatic limb amputation

Factors affecting outcome after traumatic limb amputation

A comprehensive musculoskeletal and peripheral nervous system assessment of war-related bilateral upper extremity amputees

Amputation Surgeries for the Lower Limb

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