PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “Amputation, Traumatic”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 217 records · Page 12Linked to original sources

[Reconstruction of isolated traumatic amputation of the thumb. Role of annular pollicization].

Fifteen pollicisations of undamaged ring fingers were carried out after isolated thumb amputations, occurring most of the time above the MP in manual workers. All these patients were re-examined with a minimum two years' follow-up and an average 5 years'. There was no complication, and all the patients operated on resumed an active work at the fifth postoperative month on average. Early rehabilitation was favoured by bone fixation of the first metacarpal with an intramedullary peg, and by careful cinematisation (reinsertion of all extensors, cinematisation by the flexor pollicis longus). The results showed that this procedure was the surgery of choice for isolated amputations of the thumb occurring in manual workers at the level of or above the MP. Indeed, if it is compared with transfers of the 2nd toe, pollicisation is characterized by its reliability, an early return to work, a greater range of active motion (60 degrees instead of 30 degrees), pulp-pinch and key-pinch figures at 54 per cent, a hand-grasp (70 per cent) identical or better, a touch sensibility two or three times as good (Weber at 5 mm), a better cold tolerance (no professional disability), and by the fact that there is no discomfort at the level where the transplanted digit was removed.

Adult↗

The modified Pirogoff amputation for traumatic partial foot amputations.

OBJECTIVE: To describe our experience with a modification of the Pirogoff amputation, in the treatment of serious injuries to the hind foot. DESIGN: Retrospective study. SETTING: University hospital, The Netherlands. SUBJECTS: Six patients who required amputation of the hind foot after serious injury. INTERVENTIONS: The modified Pirogoff amputation (amputation of the foot at the ankle with part of the calcaneus left in the lower end of the stump) was done four times as an emergency and twice electively between 1979 and 1991. RESULTS: All the patients were satisfied with their stumps at follow up (7 months-13 years). None had stump pain or phantom pain and they were able to walk about indoors without using the prosthesis. CONCLUSION: We recommend the Pirogoff amputation as the treatment of choice in the management of partial traumatic amputation and other injuries of the foot, should a transmetatarsal amputation be impossible and about 5 cm of the sole of the foot can be preserved.

Adult↗

Acute management of traumatic forequarter amputations: case reports.

Traumatic forequarter amputation is a rare and very devastating injury. The arm, including the scapula, clavicle, and pectoral muscle, is torn from the body by a tremendous traction force, usually combined with a counteracting force from the body. The cases of three patients are presented. One patient was caught by the axle of a harvesting machine, resulting in a forequarter amputation of his right extremity and amputation of his left arm at the level of the upper arm. The other two patients had their arms caught in conveyer belts. All patients survived. Closure of the defect was performed acutely using a local pedicled musculocutaneous flap in one case and free vascularized musculocutaneous flaps from the amputated limbs in the two other cases.

Accidents, Occupational↗

Traumatic forequarter amputation: case report.

Traumatic forequarter amputation is rare and extremely mutilating. A 21-year-old male factory worker who sustained a traumatic shoulder girdle amputation is described. The injury mechanism was traction from the machine's force combined with the compressive force on the sternoclavicular joint. The factors leading to survival from this injury include rapid transportation, prompt and effective resuscitation, including treatment of shock, and adequate surgical management. Recognition of the complications associated with retrosternoclavicular dislocation is emphasized.

Accidents, Occupational↗

Successful microsurgical replantation of an amputated penis.

Traumatic amputation of the penis is a rare condition. The paper presents a 22-year old man who suffered a complete penile amputation in a result of an unfortunate accident. Microsurgical replantation of the penis was performed in the case with a complete return of sensation, sexual function and physiologic miction. Microsurgical replantation is the treatment of choice for this injury.

Adult↗

Traumatic finger amputations in Bulawayo.

A prospective study of 20 patients with traumatic amputations of the fingers and a thumb was carried out during a six week period at Mpilo Central Hospital, Bulawayo. Most of the adult injuries (17 patients) resulted from industrial accidents (76.5 pc) while two out the three children sustained their injury from domestic accidents. Inadequate safety precaution, ignorance and human error contributed significantly to the injuries. Safety education and preventive measures both at home and in industry should be inoculated into the daily life of individuals.

Adult↗