Abstract
The purpose of this study was to analyze the epidemiology and outcomes after traumatic amputation of the upper (UEA) and lower (LEA) extremities. The Los Angeles County + University of Southern California Medical Center trauma registry was utilized to identify all patients sustaining traumatic amputation during the years 1996-2007. The demographics, mechanism of injury, clinical characteristics, associated injuries, surgical procedures, complications, and outcomes were obtained for these patients. During the 12-year study period, 130 patients suffered limb amputation, accounting for 0.25% of all trauma admissions. Thirteen patients (10%) were excluded because they were transferred from another facility after amputation or died in the emergency department. Of the remaining 117 patients, mean age was 38.1 ± 16.4 years and 77.8% were male. The predominant mechanism of injury was automobile versus pedestrian (27.4%), followed by work-related accidents (23.9%). Patients struck by vehicles were more likely to suffer LEA (93.8% versus 6.2%, p < 0.001), while patients with work-related accidents were more likely to sustain UEA (81.5% versus 18.5%, p < 0.001). Only nine patients underwent reattachment, all of which were for UEA and unsu...Continue Reading
References
Nov 1, 1983·Injury·G R CraigS K Wood
Aug 23, 2002·Southern Medical Journal·Timothy R DillinghamEllen J MacKenzie
Aug 5, 2004·The Journal of Bone and Joint Surgery. American Volume·Ellen J MacKenzieMelissa L McCarthy
Aug 25, 2004·Journal of the American College of Surgeons·Demetrios DemetriadesPeter Rhee
Mar 15, 2005·The American Journal of Emergency Medicine·M Virginia JerniganStefan M Duma
Aug 9, 2005·The Journal of Bone and Joint Surgery. American Volume·Ellen J MacKenzieRenan C Castillo
Aug 25, 2005·Journal of Orthopaedic Trauma·Matthew W GoldmanLoring W Rue
Jul 11, 2006·Journal of Vascular Surgery·Philip S MullenixMatthew J Martin
Sep 28, 2006·The Journal of the American Academy of Orthopaedic Surgeons·Ellen J MacKenzie, Michael J Bosse
Jan 11, 2007·Journal of Orthopaedic Trauma·Jason W BusseUNKNOWN Evidence-Based Orthopaedic Trauma Working Group
Aug 3, 2007·The Journal of Bone and Joint Surgery. American Volume·Ellen J MacKenzieAndrew R Burgess
Feb 26, 2008·Archives of Physical Medicine and Rehabilitation·Kathryn Ziegler-GrahamRon Brookmeyer
Jun 11, 2009·The Journal of Trauma·Galinos BarmparasDemetrios Demetriades
Jul 20, 2010·Journal of Pediatric Surgery·Galinos BarmparasDemetrios Demetriades
Citations
Dec 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·H F SeligL P Kamolz
Feb 17, 2015·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Gaoussou ToureChristian Vacher
Mar 20, 2015·PloS One·Mery Gonzalez-DelgadoMiriam Aguilar
May 18, 2019·The International Journal of Lower Extremity Wounds·Vasiliki TsoulouMaria Polikandrioti
Aug 4, 2020·Orthopedics·Samuel F ThompsonDavid C Teague
Nov 2, 2012·Journal of Orthopaedic Trauma·Emily ShinMark E Fleming
Mar 16, 2021·Journal of Clinical Orthopaedics and Trauma·Uttam Chand SainiMandeep Singh Dhillon