The single greatest obstacle to progress in amputation surgery has been the surgeon's lack of prosthetic knowledge . While a small number of surgeons throughout the years have become involved and, in fact, have made significant contributions to prosthetic improvements, the vast majority of amputations continue to be performed by surgeons uninformed in the area of prosthetic rehabilitation . Thi...

Diabetes mellitus with its resulting neurovascular changes may lead to an increased risk of burns and impaired wound healing. The purpose of this article is to review 10 years of experience with foot and lower leg burns in patients with diabetes at a single adult burn center. Patients with lower extremity burns and diabetes mellitus, between May 1999 and December 2009, were identified in the Tr...

1 Executive Secretary, Committee on Prosthetic-Orthotic Education, Division of Medical Sciences, National Academy of Sciences—National Research Council, 2101 Constitution Ave., N.W., Washington, D. C. 20418. The loss of a part of a lower extremity due to peripheral vascular disease (PVD) incident to the effects of arteriosclerosis with or without the presence of diabetes is today the predominan...

Loading response challenges the limb with the dual demands of accepting rapidly moving body weight to both absorb the shock of floor contact and create a stable limb over which the body can advance. Delay in achieving foot flat contact with the floor causes a prolonged period of heel only support and results in an unstable base of support for those persons with transtibial amputations. The purp...

OBJECTIVE Lower-extremity amputation is a common complication among patients with diabetes throughout the world. However, few data exist on the actual impact of the recent moves to improve the management of diabetic foot ulcers to reduce the incidence of lower-extremity amputations. The aim was to determine the incidence of lower-extremity amputations among diabetic patients from 1991 to 2000 i...

BACKGROUND The objective of this retrospective study was to determine the incidence of pulmonary embolism (PE) in casualties of wartime extremity wounds and specifically in casualties with a trauma-associated amputation. METHODS Records of all combat-wounded evacuated and admitted between March 1, 2003, and December 31, 2007, were retrospectively reviewed. Continuous and categorical variables...

Introduction: Diabetes-related amputations (DRA) are associated with significant morbidity and mortality. There limited studies on the burden of this condition its future projections in Saudi Arabia. Objectives: To estimate forecasts DRA (number cases mortalities) among adult diabetics (aged ≥20 years) Al-Ahsa, Eastern Region Arabia from 2022 to 2045. Methods: A simulation epidemiological model...

OBJECTIVES To examine the development and determinants of long-term outcomes for earthquake victims with amputations, including physical function, pain, quality of life and life satisfaction. DESIGN Prospective cohort study with 2-3 measurement points. SUBJECTS A total of 72 people who underwent amputations following the 2008 Sichuan Earthquake and resided in Mianzhu County, Sichuan Provinc...