Current issues with lower extremity amputations in a country at war: experience from the National Military Hospital of Kabul

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
L MathieuN Shirzai

Abstract

Management practices associated with war-related amputations in countries at war may be different from the recommendations of occidental Health Force Services due to the high numbers of wounded persons to treat in precarious conditions. This observational retrospective study documents the current management of local lower extremity amputees in Afghanistan. Surgical practices, with or without delayed primary closure (DPC), and prosthetic rehabilitation issues are analyzed. This retrospective study was conducted in the National Military Hospital (NMH) of Kabul from May 2011 to November 2011. Fifty-four Afghan patients who underwent a lower extremity combat-related amputation were included. Ten of them sustained a bilateral amputation. Injuries were caused by improvised explosive devices (IEDs) or mines in 48 cases, bullets in three cases, and exploding shell fragments in three cases. Of the 64 amputations studied, 46 were open length preserving amputations and primary closure (PC) was applied in 18 cases. Patients were reviewed with a mean follow-up of 5.4 months (range 1-28 months). In the DPC group, secondary closure was performed with a mean time of 18.7 days (range 4-45 days) from injury. The proportion of infectious complica...Continue Reading

References

Jul 1, 1989·The British Journal of Surgery·R M Coupland
Aug 7, 2003·JAMA : the Journal of the American Medical Association·Oleg O BilukhaBradley A Woodruff
Jan 19, 2008·Journal of the Royal Army Medical Corps·J Clasper, UNKNOWN Lower Limb Trauma Working Group
Feb 28, 2008·The Journal of Trauma·Brett D OwensJohn B Holcomb
Mar 20, 2008·The Journal of Trauma·Duane R HospenthalJohn B Holcomb
Apr 20, 2010·Journal of the Royal Army Medical Corps·A RamasamyJ C Clasper
Dec 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Scott M TintleBenjamin K Potter
Dec 15, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·W G P EardleyJ C Clasper
Dec 15, 2010·Philosophical Transactions of the Royal Society of London. Series B, Biological Sciences·Demetrius EvriviadesDeborah Mortiboy
Jan 14, 2011·Plastic and Reconstructive Surgery·Kara S Couch, Alexander Stojadinovic
Jul 23, 2011·Medicinski Arhiv·Sahib N Muminagic
Aug 4, 2011·The Journal of Trauma·Jeannie HuhUNKNOWN Late Amputation Study Team
Mar 22, 2012·The Journal of Bone and Joint Surgery. British Volume·K V BrownJ Clasper
Dec 5, 2012·The Journal of Trauma and Acute Care Surgery·Chad A KruegerJames R Ficke

❮ Previous
Next ❯

Citations

Mar 13, 2014·International Orthopaedics·Laurent MathieuSylvain Rigal
Sep 2, 2014·International Orthopaedics·Olivier BarbierSylvain Rigal
Jun 26, 2014·International Orthopaedics·Laurent MathieuFrédéric Rongiéras
Aug 1, 2015·Journal of Trauma Management & Outcomes·Fahad H KhanAnel R Bagwani
Apr 12, 2019·International Orthopaedics·Antoine GrossetSylvain Rigal

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.