The role of elective amputation in patients with traumatic brachial plexus injury

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Andrés A MaldonadoAlexander Y Shin

Abstract

Despite undergoing complex brachial plexus, surgical reconstructions, and rehabilitation, some patients request an elective amputation. This study evaluates the role of elective amputation after brachial plexus injury. A retrospective chart review was performed for all the 2140 patients with brachial plexus injuries treated with elective amputation between 1999 and 2012 at a single institution. Analysis was conducted on the potential predisposing factors for amputation, amputation level, and postamputation complications. Patients were evaluated using pre- and postamputation Disabilities of the Shoulder, Arm, and hand scores in addition to visual analog pain scores. The following three conditions were observed in all nine patients who requested an elective amputation: (1) Pan-plexus injury; (2) non-recovery (mid-humeral amputation) or elbow flexion recovery only (forearm amputation) 1 year after all other surgical options were performed; and (3) at least one chronic complication (chronic infection, nonunion fractures, full-thickness burns, chronic neck pain with arm weight, etc.). Pain improvement was found in five patients. Subjective patient assessments and visual analog pain scores before and after amputation did not show a s...Continue Reading

References

Sep 1, 1977·The Journal of Hand Surgery·H Millesi
Jun 1, 1980·The Journal of Trauma·C H Rorabeck
Jul 1, 1995·The Journal of Hand Surgery·T W WrightM B Wood
Oct 1, 1993·Injury·M C WilkinsonG Bonney
Jan 1, 1993·Clinical Neurology and Neurosurgery·A O Narakas
Sep 1, 1995·The Journal of Hand Surgery·D E BeatonR R Richards
May 1, 1996·The Journal of Hand Surgery·K IharaS Kawai
Jul 1, 1997·Der Orthopäde·O RühmannF Gossé
Oct 20, 2000·Plastic and Reconstructive Surgery·J K Terzis, K C Papakonstantinou
Sep 27, 2001·World Journal of Surgery·J K TerzisP N Soucacos
Nov 1, 1949·Journal of Neurology, Neurosurgery, and Psychiatry·G D DAWSON, J W SCOTT
May 15, 2007·Plastic and Reconstructive Surgery·Julia K Terzis, Vasileios K Kostopoulos
Aug 30, 2008·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Rachel S Rohde, Scott W Wolfe
Jan 1, 2009·Plastic and Reconstructive Surgery·Yasunori HattoriKiminori Yukata
Dec 3, 2009·Plastic and Reconstructive Surgery·Julia K Terzis, Antonia Barmpitsioti
Aug 29, 1942·British Medical Journal·H J Seddon
Feb 3, 2011·Seminars in Plastic Surgery·David Chwei-Chin Chuang
Oct 6, 2011·The Journal of Hand Surgery·Jeffrey A MarchessaultWarren C Hammert

❮ Previous
Next ❯

Citations

Feb 2, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Shelley S NolandAlexander Y Shin
Oct 5, 2017·Arquivos de neuro-psiquiatria·Mário Gilberto SiqueiraLuciano Foroni
Aug 24, 2021·HSS Journal : the Musculoskeletal Journal of Hospital for Special Surgery·Eric ZhuChristopher J Dy

❮ 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.