Removal of an anatomical segment is not pleasant for anyone; perhaps even more so in leprosy patients because of disease stigma. Amputation has an immediate relation to social dependence and handicap. The loss of a once normal part of the body is regarded by both the person and society as a detrimental event. In contrast, children with some upper limb congenital anomalies do not regard this as ...

2 Director, Prosthetics Research Study, Seattle, Wash. AHE elective amputation must be considered plastic and reconstructive in nature. The need to create a dynamic and sensory motor end-organ should be foremost in the surgeon's mind in planning an amputation, and is emphasized here once more. The below-knee stump no longer hangs suspended in an open-end socket. The variable degrees of pressure...

OBJECTIVE To describe recent trends in the incidence of nontraumatic amputations among individuals with and without diabetes and estimate the relative risk of amputations among individuals with diabetes in England. RESEARCH DESIGN AND METHODS We identified all patients aged >16 years who underwent any nontraumatic amputation in England between 2004 and 2008 using national hospital activity da...

Pain and pain-related interference with physical function have not been thoroughly studied in individuals who have undergone knee-disarticulation amputations. The principal aim of this study was to determine whether individuals with knee-disarticulation amputations have worse pain and pain-related interference with physical function than do individuals with transtibial or transfemoral amputatio...