Amputation after extremity injury

American Journal of Surgery
J G Seiler, J D Richardson

Abstract

Extremity injury is a significant cause of morbidity and mortality in the trauma patient. The decision to amputate is a difficult one to make in a patient population still in the productive years of life. At the University of Louisville Hospital from 1976 to 1984, 37 patients with traumatic extremity injury required amputation. Ninety percent of these injuries were to the lower extremities. A decision for amputation was based on the absence of neurovascular function, the presence of fracture of the involved extremity, the presence of a large soft tissue defect, and the presence of severe contamination. Prompt amputation of such severely damaged limbs may be preferable to attempts at salvage. Early amputation offers the opportunity for prosthetic replacement and good long-term functional recovery.

References

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Citations

Jan 1, 1990·Archives of Orthopaedic and Trauma Surgery·U Büchler
Apr 1, 1994·Injury·P Clarke, R A Mollan
Feb 13, 2003·The Journal of Trauma·Christoph Heitmann, L Scott Levin
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Feb 17, 2009·Journal of Orthopaedic Surgery and Research·Anastasios V KorompiliasPanayiotis N Soucacos
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Jan 23, 2016·BMC Musculoskeletal Disorders·Giuseppe Rosario SchiròGiulio Maccauro
Nov 24, 1999·Injury·D Ring, J B Jupiter

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