Traumaticamputations of the digits, hand and wrist PresentationReferralSurgical reviewOperative procedureRecovery and rehabilitationYesHand surgery, version 1Traumatic amputations of the digits, hand and wristPatient arrives in ED/MIU withan amputation of the Digit/Hand/WristActions:· Control of Haemorrhage and followATLS guidelines.· Remove rings· Consider Tetanus (follow Nationalguidelines
Patient satisfaction after lower limb replantation surgery for traumaticamputation - a qualitative study. The majority of published literature clinically assesses surgical outcomes after lower limb replantation for traumaticamputations. However, patients' satisfaction and quality of life may not be accurately measured through rigid scoring using standardized patient reported outcome measures . The aim of this study was to qualitatively assess patient satisfaction and factors associated with achieving good outcomes after successful lower limb replantation surgery. A semi-structured interview was conducted with 12 patients who underwent lower limb replantation surgery following traumaticamputation injuries. The interview focused on the patients' experience and satisfaction throughout
Development and external validation of a prediction model for digit replantation failure after traumaticamputations based on a prospective multicenter cohort. Failure of digit replantation after traumaticamputation is difficult to predict. We aimed to develop a prognostic model to better identify factors that better predict replantation failure following traumatic digit amputation
Investigation on the relationship between Eysenck personality type and the survival rate of traumaticamputated finger replantation based on preventive psychology. This paper tried to observe the relationship between the personality of patients with different personalities and the survival rate of replantation of traumaticamputated finger, and analyzed the influencing factors. EPQ psychological
Association of Interfacility Transfer and Patient and Hospital Characteristics With Thumb Replantation After TraumaticAmputation. Given that 40% of hand function is achieved with the thumb, replantation of traumatic thumb injuries is associated with substantial quality-of-life benefits. However, fewer replantations are being performed annually in the US, which has been associated with less
Ex vivo limb perfusion for traumaticamputation in military medicine. Limb loss has a drastic impact on a patient's life. Severe trauma to the extremities is common in current military conflicts. Among other aspects, "life before limb" damage control surgery hinders immediate replantation within the short post-traumatic timeframe, which is limited in part by the ischemic time for successful
Disturbing medical findings in war-related traumaticamputation patients: a clinical descriptive study from Gaza. The aim of this study was to explore possible long-term negative health effects of injuries sustained by modern weaponry. The study was conducted in Gaza's main hospital, Al-Shifa Hospital. During the last 10 to 15 years, thousands of civilian Palestinians in Gaza have survived
Mortality prediction following non-traumaticamputation of the lower extremity Patients who undergo lower extremity amputation secondary to the complications of diabetes or peripheral artery disease have poor long-term survival. Providing patients and surgeons with individual-patient, rather than population, survival estimates provides them with important information to make individualized
Does pain, psychological distress and deteriorated family economy follow traumaticamputation among war casualties? A retrospective, cross-sectional study from Gaza. The aim of this study was to explore determinants of psychosocial distress and pain in patients who have survived severe extremity amputation in Gaza. This study was conducted in a secondary care rehabilitation centre in Gaza
Traumaticamputations caused by drone attacks in the local population in Gaza: a retrospective cross-sectional study. Little data exist to describe the use and medical consequences of drone strikes on civilian populations in war and conflict zones. Gaza is a landstrip within the Palestinian territories and the home of 2 million people. The median age in Gaza is 17·2 years and almost half
Managing traumaticamputation and prosthetics in the developing world Managing traumaticamputation and prosthetics in the developing world - BMJ Case Reports blog Skip to content * Home * About this blog * Topic Index * BMJ Case ReportsManaging traumaticamputation and prosthetics in the developing worldPosted on April 4, 2019 by In, “Clinical management of quadriplegia in low and middle-income
Impact of prehospital medical evacuation (MEDEVAC) transport time on combat mortality in patients with non-compressible torso injury and traumaticamputations: a retrospective study In combat operations, patients with traumatic injuries require expeditious evacuation to improve survival. Studies have shown that long transport times are associated with increased morbidity and mortality. Limited a retrospective review of MEDEVAC patient care records for United States military personnel who sustained traumaticamputations and NCTI during Operation Enduring Freedom between January 2011 and March 2014. We grouped patients as traumaticamputation and NCTI (AMP+NCTI), traumaticamputation only (AMP), and neither AMP nor NCTI (Non-AMP/NCTI). Analysis was performed using chi-squared tests, Fisher's exact
Three-dimensional-printed upper limb prosthesis for a child with traumaticamputation of right wrist: A case report. For traumatic upper limb amputees, the prohibitive cost of a custom-made prosthesis brings an insufferable financial burden for their families in developing countries. Three-dimensional (3D) printing allows for creating affordable, lightweight, customized, and well-fitting
Long-term outcome following upper extremity replantation after major traumaticamputation. Amputations in general and amputations of upper extremities, in particular, have a major impact on patients' lives. There are only a few long-term follow-up reports of patients after macro-replantation. We present our findings in contrast with the existing literature. Sixteen patients with traumatic macro
Use of CytoSorb in TraumaticAmputation of the Forearm and Severe Septic Shock Severe trauma associated with later disability and mortality still constitutes a major health and socioeconomic problem throughout the world. While primary morbidity and mortality are mostly related to initial injuries and early complications, secondary lethality is strongly linked to the development of systemic inflammatory response syndrome, sepsis, and ultimately multiple organ dysfunction syndrome. We herein report on a 49-year-old male patient who was admitted to the hospital after a traumaticamputation of his right forearm that was cut off while working on a landfill. After initial treatment for shock, he received immediate replantation and was transferred to the ICU. Due to the anticipated risk of a complex
Whole-body Vibration Without Visual Feedback on Postural Steadiness in Unilateral Trans-femoral TraumaticAmputees This study will investigate the effects of Whole-body vibration without visual feedback on postural steadiness in unilateral trans-femoral traumaticamputees. This study will be carried out at the outpatient clinic of the faculty of physical therapy, modern university for technology and relieve osteoporosis in the elderly, and to promote sports injury recovery and improve sports performance. But till now there is no judgment concerning the difference and significance of Whole-body vibration without visual feedback on postural steadiness in unilateral trans-femoral traumaticamputees.
Characteristics of United States Emergency Department Visits for TraumaticAmputations in the Elderly Adult from 2010 to 2013. Elderly adults (65 years of age and older) are of particular concern for traumaticamputations due to age-related changes in vision and coordination, making them more susceptible to injury. The objective of this study is to describe the epidemiology of traumaticamputations in the elderly adults treated in United States emergency departments (ED). A retrospective analysis using data from the National Electronic Injury Surveillance System from 2010 to 2013. People aged 65 years and older treated in U.S. hospital EDs for traumaticamputations from 2010 to 2013. There were 15,611 elderly patients treated for amputations from 2010 to 2013, averaging 3,902 amputations
Effects of TraumaticAmputation on β-Trace Protein and β2-Microglobulin Concentrations in Male Soldiers. Serum creatinine (SCr) levels are decreased following traumaticamputation, leading to the overestimation of glomerular filtration rate (GFR). β-Trace protein (BTP) and β2-microglobulin (B2M) strongly correlate with measured GFR and have not been studied following amputation. We hypothesized that BTP and B2M would be unaffected by traumaticamputation. We used the Department of Defense Serum Repository to compare pre- and post-traumaticamputation serum BTP and B2M levels in 33 male soldiers, via the N Latex BTP and B2M nephelometric assays (Siemens Diagnostics, Tarrytown, N.Y., USA). Osterkamp estimation using DEXA scan measurements was used to establish percent estimated body weight loss
Patients with multiple traumaticamputations: An analysis of operation enduring freedom joint theatre trauma registry data. Improvised Explosive Devices (IED) are the primary wounding mechanism for casualties in Operation Enduring Freedom. Patients can sustain devastating traumaticamputations, which are unlike injuries seen in the civilian trauma sector. This is a database analysis of the largest patient registry of multiple traumaticamputations. The Joint Theater Trauma Registry was queried for patients with a traumaticamputation from 2009 to 2012. Data obtained included the Injury Severity Score (ISS), Glasgow Coma Score (GCS), blood products, transfer from theatre, and complications including DVT, PE, infection (Acinetobacter and fungal), acute renal failure, and rhabdomyolysis
Pain Phenotypes and Associated Clinical Risk Factors Following TraumaticAmputation: Results from Veterans Integrated Pain Evaluation Research (VIPER). To define clinical phenotypes of postamputation pain and identify markers of risk for the development of chronic pain. Cross-sectional study of military service members enrolled 3-18 months after traumaticamputation injury. Military Medical