OBJECTIVE To determine the causes and pattern of lower limb amputations at the Kenyatta National Hospital. DESIGN Descriptive prospective study. SETTING The Kenyatta National Hospital between July 2003 and June 2004. RESULTS A total of 77 lower limb amputations (LLA) were performed on 74 patients. The age ranged from seven months to 96 years (mean 44.8 +/- 22.5). Forty six patients (62.1%...

V injury with hemorrhage and ischemia is a significant cause of battlefield morbidity (i.e., amputation) and mortality. Recent reports have demonstrated the rate of vascular injury in modern combat to be five times that reported in previous wars. As a result of the volume of vascular trauma incurred, management of these injury patterns is of special importance. Indeed, approaches to vascular tr...

BACKGROUND The ability to return to running and sports participation after lower extremity limb salvage has not been well documented previously. Although the ability to ambulate without pain or assistive devices is generally a criteria for a good limb salvage outcome, many patients at our institution have expressed a desire to return to a more athletic lifestyle to include running and sports pa...

BACKGROUND The aim of this study is to assess the accuracy of a Fast Doppler protocol for the examination of an injured lower limb, namely 2-Point Fast Doppler (2PFD), in order to rapidly triage arterial lesions after penetrating trauma. METHODS The presence of flow and the aspects of the Doppler waveform of the dorsalis pedis artery (DPA) and posterior tibial artery (PTA) of the injured lowe...

AIMS A frequently-seen injury pattern in current military experience is traumatic lower limb amputation as a result of improvised explosive devices (IEDs). This injury can coexist with fractures involving the pelvic ring. This study aims to assess the frequency of concomitant pelvic fracture in IED-related lower limb amputation. METHODS A retrospective analysis of the trauma charts, medical n...

BACKGROUND Extremity injury with ischaemia is the most common pattern of vascular trauma and is a challenge for surgeons who must make decisions about the timing and mechanism of limb reperfusion. In modern military conflicts, effective use of limb tourniquets and rapid transport of the injured have increased the number of casualties who reach a medical service with potentially survivable vascu...

Introduction: Cellulitis affecting the lower limb is a common type 1 diabetic foot complication, yet there are very few studies done on it over last few decades. Aim: To study cellulitis in diabetic lower limb through Amit Jain’s staging system, the first specific focussed classification system for cellulitis and its local complications in diabetic lower limb. Methods: A retrospective analysis ...

OBJECTIVES The nature of vascular trauma varies greatly between continents and across time. The aim of this study was to prospectively analyse the demographics, pathology, management and clinical outcomes of vascular injuries in two urban Malaysian hospitals and review of international literature on vascular trauma. From this information, preliminary management and preventive implications will ...