Author correspondence to: Miguel A. Maldonado-Rodríguez, MD, MPH, Urb. Arbolada, E-16 Calle Tabonuco, Caguas, PR 00727. Email: [email protected] Objective: Diabetes predisposes patients to multiple complications, such as osteomyelitis, which, if not managed adequately, may result in amputation, sepsis, or death. This study aimed to compare the rates of amputation associated with two different t...

INTRODUCTION Chronic osteomyelitis is a disease that requires fastidious treatment to eliminate. However, when eradication is unable to be achieved through exhaustive modalities of antibiotic therapy and multiple debridements, significant resection of the infected bone and soft tissue must be considered, including amputation. Here we report of a salvage procedure for chronic osteomyelitis of th...

PURPOSE To predict healing of the stump by assessing the microscopic vascular changes at the amputation site. METHODS A cohort study was conducted on 39 patients, 18 of them had below-knee amputation (group A) and 21 had ray amputation of a single toe (group B). Biopsies were taken from the anterior and posterior tibial arteries and the venae comitantes of group A patients. For group B patien...

ObjectiveThe decision to undertake a major lower limb amputation can be complex. This review evaluates the performance of risk prediction tools in estimating mortality, morbidity, and other outcomes following amputation.MethodsA systematic was performed Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) guidelines. The MEDLINE, Embase, Cochrane databases were searched ident...

The purpose of this study was to identify factors considered to be important in the adjustment to amputation and the wearing of a prosthetic limb from the perspective of the person who has had a lower limb amputation. Hence, focus group methodology was employed as a means of acquiring perspectives within a population of young adults who had a lower limb amputation. Preliminary thematic analysis...

On a well defined non-diabetic amputation group with vascular insufficiency consisting of 10,191 amputations during the period 1982 to 1992 the Standard Mortality Rate (SMR) and the long term survival (Kaplan-Meyer) were analysed. The SMR for the total group was 8.6 (8.4-8.9) times the expected mortality the first year after amputation, decreasing to 3.2 (3.3-3.4) the second year. SMR in relati...

background: providing care to a disable relative at home exposes the caregiver to a potentially higher risk of physical and mental problems. we measured health-related quality of life (hrqol) and its determinants among the caregivers of the iranian survivors of the iran-iraq war (1980–1988) with bilateral lower-limb amputation. methods: data were collected from 464 individuals comprising war-re...

introduction cutaneous mucormycosis is a rare opportunistic infection caused by zygomycetes class of fungi that is often fatal, requiring aggressive local control as well as systemic therapy. few cases of mucormycosis were described in patients with liver cirrhosis, mostly rhino-orbital. to our knowledge, only two cases of upper extremity involvement was reported in cirrhosis while a few cases ...

OBJECTIVE Patients with peripheral artery disease are at risk for critical limb ischemia and amputation. Accumulation of advanced glycation end products is increased and predictive for coronary and cerebrovascular events in several high cardiovascular risk groups. We hypothesized that accumulation of tissue advanced glycation end products, measured by skin autofluorescence (SAF), predicts amput...