Prediction of amputation after severe lower limb trauma

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Prediction of amputation after severe lower limb trauma.

The Mangled Extremity Severity Score was applied to 152 patients with severely injured lower limbs. All cases with a score of seven or more required amputation; some with scores of less than seven eventually came to amputation. These observations are discussed.

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Severe lower limb trauma

Severe trauma to the lower limbs, with major skin loss and the compromise of vital struc­ tures, is often difficult to treat. A combination of several factors such as ability and effort made to distinguish lesion severity – that is, to differentiate recoverable traumas from those that will inevitably progress to amputation – plays an important role. Therefore, indices were developed to facilita...

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Lower limb trauma: limb salvage or an early amputation?

Trauma is the leading cause of death and disability in the first four decades of life all over the world (1). This causes serious social and economic costs (1, 2). The ultimate goal of the trauma care is to return the patient to an independent and productive life as soon as possible. Trauma surgeon’s role is critical in establishing a better quality of care, because he or she are responsible fo...

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Return to work after lower limb amputation.

This study investigated the proportion of patients who returned to work following amputation and the factors that influenced a positive or negative outcome. One hundred patients of working age who had sustained unilateral lower limb amputation at least 1 year previously and who were established prosthesis users participated in the study. A specially designed questionnaire similar to a guided in...

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The Military Extremity Trauma Amputation/Limb Salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma.

BACKGROUND The study was performed to examine the hypothesis that functional outcomes following major lower-extremity trauma sustained in the military would be similar between patients treated with amputation and those who underwent limb salvage. METHODS This is a retrospective cohort study of 324 service members deployed to Afghanistan or Iraq who sustained a lower-limb injury requiring eith...

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ژورنال

عنوان ژورنال: The Journal of Bone and Joint Surgery. British volume

سال: 1991

ISSN: 0301-620X,2044-5377

DOI: 10.1302/0301-620x.73b5.1894673