Amputation: The removal of a limb or other appendage or outgrowth of the body. (Dorland, 28th ed)Amputation, Traumatic: Loss of a limb or other bodily appendage by accidental injury.Amputation Stumps: The part of a limb or tail following amputation that is proximal to the amputated section.Artificial Limbs: Prosthetic replacements for arms, legs, and parts thereof.Diabetic Foot: Common foot problems in persons with DIABETES MELLITUS, caused by any combination of factors such as DIABETIC NEUROPATHIES; PERIPHERAL VASCULAR DISEASES; and INFECTION. With the loss of sensation and poor circulation, injuries and infections often lead to severe foot ulceration, GANGRENE and AMPUTATION.Lower Extremity: The region of the lower limb in animals, extending from the gluteal region to the FOOT, and including the BUTTOCKS; HIP; and LEG.AmputeesLeg: The inferior part of the lower extremity between the KNEE and the ANKLE.Phantom Limb: Perception of painful and nonpainful phantom sensations that occur following the complete or partial loss of a limb. The majority of individuals with an amputated extremity will experience the impression that the limb is still present, and in many cases, painful. (From Neurol Clin 1998 Nov;16(4):919-36; Brain 1998 Sep;121(Pt 9):1603-30)Limb Salvage: An alternative to amputation in patients with neoplasms, ischemia, fractures, and other limb-threatening conditions. Generally, sophisticated surgical procedures such as vascular surgery and reconstruction are used to salvage diseased limbs.Gangrene: Death and putrefaction of tissue usually due to a loss of blood supply.Ischemia: A hypoperfusion of the BLOOD through an organ or tissue caused by a PATHOLOGIC CONSTRICTION or obstruction of its BLOOD VESSELS, or an absence of BLOOD CIRCULATION.Disarticulation: Amputation or separation at a joint. (Dorland, 28th ed)Finger Injuries: General or unspecified injuries involving the fingers.Leg Injuries: General or unspecified injuries involving the leg.Toes: Any one of five terminal digits of the vertebrate FOOT.Foot Ulcer: Lesion on the surface of the skin of the foot, usually accompanied by inflammation. The lesion may become infected or necrotic and is frequently associated with diabetes or leprosy.Extremities: The farthest or outermost projections of the body, such as the HAND and FOOT.Peripheral Vascular Diseases: Pathological processes involving any one of the BLOOD VESSELS in the vasculature outside the HEART.Replantation: Restoration of an organ or other structure to its original site.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Podiatry: A specialty concerned with the diagnosis and treatment of foot disorders and injuries and anatomic defects of the foot.Foot: The distal extremity of the leg in vertebrates, consisting of the tarsus (ANKLE); METATARSUS; phalanges; and the soft tissues surrounding these bones.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Regeneration: The physiological renewal, repair, or replacement of tissue.Popliteal Artery: The continuation of the femoral artery coursing through the popliteal fossa; it divides into the anterior and posterior tibial arteries.Debridement: The removal of foreign material and devitalized or contaminated tissue from or adjacent to a traumatic or infected lesion until surrounding healthy tissue is exposed. (Dorland, 27th ed)Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Wound Healing: Restoration of integrity to traumatized tissue.Blast Injuries: Injuries resulting when a person is struck by particles impelled with violent force from an explosion. Blast causes pulmonary concussion and hemorrhage, laceration of other thoracic and abdominal viscera, ruptured ear drums, and minor effects in the central nervous system. (From Dorland, 27th ed)Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Animal Fins: Membranous appendage of fish and other aquatic organisms used for locomotion or balance.Tibial Arteries: The anterior and posterior arteries created at the bifurcation of the popliteal artery. The anterior tibial artery begins at the lower border of the popliteus muscle and lies along the tibia at the distal part of the leg to surface superficially anterior to the ankle joint. Its branches are distributed throughout the leg, ankle, and foot. The posterior tibial artery begins at the lower border of the popliteus muscle, lies behind the tibia in the lower part of its course, and is found situated between the medial malleolus and the medial process of the calcaneal tuberosity. Its branches are distributed throughout the leg and foot.Forefoot, Human: The forepart of the foot including the metatarsals and the TOES.Tibia: The second longest bone of the skeleton. It is located on the medial side of the lower leg, articulating with the FIBULA laterally, the TALUS distally, and the FEMUR proximally.Arm Injuries: General or unspecified injuries involving the arm.Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Forelimb: A front limb of a quadruped. (The Random House College Dictionary, 1980)Knee: A region of the lower extremity immediately surrounding and including the KNEE JOINT.Peripheral Arterial Disease: Lack of perfusion in the EXTREMITIES resulting from atherosclerosis. It is characterized by INTERMITTENT CLAUDICATION, and an ANKLE BRACHIAL INDEX of 0.9 or less.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Leg Ulcer: Ulceration of the skin and underlying structures of the lower extremity. About 90% of the cases are due to venous insufficiency (VARICOSE ULCER), 5% to arterial disease, and the remaining 5% to other causes.Foot Diseases: Anatomical and functional disorders affecting the foot.Blood Gas Monitoring, Transcutaneous: The noninvasive measurement or determination of the partial pressure (tension) of oxygen and/or carbon dioxide locally in the capillaries of a tissue by the application to the skin of a special set of electrodes. These electrodes contain photoelectric sensors capable of picking up the specific wavelengths of radiation emitted by oxygenated versus reduced hemoglobin.Hemipelvectomy: Amputation of a lower limb through the sacroiliac joint.OsteomyelitisThromboangiitis Obliterans: A non-atherosclerotic, inflammatory thrombotic disease that commonly involves small and medium-sized arteries or veins in the extremities. It is characterized by occlusive THROMBOSIS and FIBROSIS in the vascular wall leading to digital and limb ISCHEMIA and ulcerations. Thromboangiitis obliterans is highly associated with tobacco smoking.Prosthesis Fitting: The fitting and adjusting of artificial parts of the body. (From Stedman's, 26th ed)Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Fibula: The bone of the lower leg lateral to and smaller than the tibia. In proportion to its length, it is the most slender of the long bones.Bone Neoplasms: Tumors or cancer located in bone tissue or specific BONES.TailSalamandridae: A family of Urodela consisting of 15 living genera and about 42 species and occurring in North America, Europe, Asia, and North Africa.Hospitals, Veterans: Hospitals providing medical care to veterans of wars.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Hand Injuries: General or unspecified injuries to the hand.Diabetes Complications: Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.Reconstructive Surgical Procedures: Procedures used to reconstruct, restore, or improve defective, damaged, or missing structures.Diabetic Angiopathies: VASCULAR DISEASES that are associated with DIABETES MELLITUS.Arteriosclerosis Obliterans: Common occlusive arterial disease which is caused by ATHEROSCLEROSIS. It is characterized by lesions in the innermost layer (ARTERIAL INTIMA) of arteries including the AORTA and its branches to the extremities. Risk factors include smoking, HYPERLIPIDEMIA, and HYPERTENSION.Osteosarcoma: A sarcoma originating in bone-forming cells, affecting the ends of long bones. It is the most common and most malignant of sarcomas of the bones, and occurs chiefly among 10- to 25-year-old youths. (From Stedman, 25th ed)Metatarsus: The part of the foot between the tarsa and the TOES.Foot Injuries: General or unspecified injuries involving the foot.Veins: The vessels carrying blood away from the capillary beds.Arthropathy, Neurogenic: Chronic progressive degeneration of the stress-bearing portion of a joint, with bizarre hypertrophic changes at the periphery. It is probably a complication of a variety of neurologic disorders, particularly TABES DORSALIS, involving loss of sensation, which leads to relaxation of supporting structures and chronic instability of the joint. (Dorland, 27th ed)Surgical Wound Infection: Infection occurring at the site of a surgical incision.Arm: The superior part of the upper extremity between the SHOULDER and the ELBOW.Tibial FracturesAmbystoma mexicanum: A salamander found in Mexican mountain lakes and accounting for about 30 percent of the urodeles used in research. The axolotl remains in larval form throughout its life, a phenomenon known as neoteny.Wound Infection: Invasion of the site of trauma by pathogenic microorganisms.Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Amniotic Band Syndrome: A disorder present in the newborn infant in which constriction rings or bands, causing soft tissue depressions, encircle digits, extremities, or limbs and sometimes the neck, thorax, or abdomen. They may be associated with intrauterine amputations.Inguinal Canal: The tunnel in the lower anterior ABDOMINAL WALL through which the SPERMATIC CORD, in the male; ROUND LIGAMENT, in the female; nerves; and vessels pass. Its internal end is at the deep inguinal ring and its external end is at the superficial inguinal ring.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Soft Tissue Neoplasms: Neoplasms of whatever cell type or origin, occurring in the extraskeletal connective tissue framework of the body including the organs of locomotion and their various component structures, such as nerves, blood vessels, lymphatics, etc.Blood Vessel Prosthesis: Device constructed of either synthetic or biological material that is used for the repair of injured or diseased blood vessels.Veterans: Former members of the armed services.Angioplasty, Balloon: Use of a balloon catheter for dilation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of BALLOON DILATION in coronary arteries, ANGIOPLASTY, BALLOON, CORONARY is available.Neuroma: A tumor made up of nerve cells and nerve fibers. (Dorland, 27th ed)Diabetic Neuropathies: Peripheral, autonomic, and cranial nerve disorders that are associated with DIABETES MELLITUS. These conditions usually result from diabetic microvascular injury involving small blood vessels that supply nerves (VASA NERVORUM). Relatively common conditions which may be associated with diabetic neuropathy include third nerve palsy (see OCULOMOTOR NERVE DISEASES); MONONEUROPATHY; mononeuropathy multiplex; diabetic amyotrophy; a painful POLYNEUROPATHY; autonomic neuropathy; and thoracoabdominal neuropathy. (From Adams et al., Principles of Neurology, 6th ed, p1325)Embolectomy: Surgical removal of an obstructing clot or foreign material which has been transported from a distant vessel by the bloodstream. Removal of a clot at its original site is called THROMBECTOMY.Vascular Diseases: Pathological processes involving any of the BLOOD VESSELS in the cardiac or peripheral circulation. They include diseases of ARTERIES; VEINS; and rest of the vasculature system in the body.

Source of inappropriate receptive fields in cortical somatotopic maps from rats that sustained neonatal forelimb removal. (1/1348)

Previously this laboratory demonstrated that forelimb removal at birth in rats results in the invasion of the cuneate nucleus by sciatic nerve axons and the development of cuneothalamic cells with receptive fields that include both the forelimb-stump and the hindlimb. However, unit-cluster recordings from primary somatosensory cortex (SI) of these animals revealed few sites in the forelimb-stump representation where responses to hindlimb stimulation also could be recorded. Recently we reported that hindlimb inputs to the SI forelimb-stump representation are suppressed functionally in neonatally amputated rats and that GABAergic inhibition is involved in this process. The present study was undertaken to assess the role that intracortical projections from the SI hindlimb representation may play in the functional reorganization of the SI forelimb-stump field in these animals. The SI forelimb-stump representation was mapped during gamma-aminobutyric acid (GABA)-receptor blockade, both before and after electrolytic destruction of the SI hindlimb representation. Analysis of eight amputated rats showed that 75.8% of 264 stump recording sites possessed hindlimb receptive fields before destruction of the SI hindlimb. After the lesions, significantly fewer sites (13.2% of 197) were responsive to hindlimb stimulation (P < 0.0001). Electrolytic destruction of the SI lower-jaw representation in four additional control rats with neonatal forelimb amputation did not significantly reduce the percentage of hindlimb-responsive sites in the SI stump field during GABA-receptor blockade (P = 0.98). Similar results were obtained from three manipulated rats in which the SI hindlimb representation was silenced temporarily with a local cobalt chloride injection. Analysis of response latencies to sciatic nerve stimulation in the hindlimb and forelimb-stump representations suggested that the intracortical pathway(s) mediating the hindlimb responses in the forelimb-stump field may be polysynaptic. The mean latency to sciatic nerve stimulation at responsive sites in the GABA-receptor blocked SI stump representation of neonatally amputated rats was significantly longer than that for recording sites in the hindlimb representation [26.3 +/- 8.1 (SD) ms vs. 10.8 +/- 2.4 ms, respectively, P < 0.0001]. These results suggest that hindlimb input to the SI forelimb-stump representation detected in GABA-blocked cortices of neonatally forelimb amputated rats originates primarily from the SI hindlimb representation.  (+info)

Age-related outcome for peripheral thrombolysis. (2/1348)

OBJECTIVES: To investigate the age-related outcome of peripheral thrombolysis and determine for which patient group this treatment is worthwhile. DESIGN AND METHODS: A combined retrospective and prospective analysis of consecutive patients undergoing thrombolysis for acute lower-limb ischaemia was made with respect to age-related outcome and other risk factors. RESULTS: One hundred and two patients underwent thrombolysis for acute limb ischaemia. In the under 60 age group there was a 40% amputation rate. Seventy-three per cent of this group smoked. In the over 80 age group, the amputation rate was 15% and only 8% were smokers. CONCLUSION: Advancing age is not an adverse risk factor for thrombolysis which appears to be safe and effective in this patient group. There is a high incidence of smoking in the younger age group (< 60 years), in whom failed thrombolysis frequently leads to amputation.  (+info)

Association between age and survival following major amputation. The Scottish Vascular Audit Group. (3/1348)

OBJECTIVES: To determine whether age is associated with survival following major amputation and whether this association is independent or simply reflects selection bias in amputation level. DESIGN AND MATERIALS: Computer linkage of routine discharge and death data on the 2759 patients undergoing major amputation in Scotland between 1989 and 1993 for peripheral arterial disease. METHODS: Cox's proportional hazards model and multivariate logistic regression analysis using death as the outcome variable and age, sex, urgency, amputation level and recent arterial reconstructive surgery as predictor variables. RESULTS: Proximal amputation was more common in older patients. Survival was associated with both age (p < 0.001) and amputation level (p < 0.001). Age was an independent predictor of death at 30 days (p < 0.0001), 6 months (p < 0.001), 12 months (p < 0.0001) and 2 years (p < 0.0001) postoperation. CONCLUSIONS: Survival following amputation was poor, with only half the patients alive at 2 years. Above-knee amputation was associated with poorer survival, presumably due to the presence of more severe and widespread disease, and was undertaken more commonly in older patients. However, age remained a predictor of survival after adjustment for amputation level. Higher early mortality suggest that a worse prognosis in elderly patients cannot be attributed wholly to actuarial considerations.  (+info)

Long-term functional status and quality of life after lower extremity revascularization. (4/1348)

OBJECTIVE: The objective of this study was to assess the longer term (up to 7 years) functional status and quality of life outcomes from lower extremity revascularization. METHODS: This study was designed as a cross-sectional telephone survey and chart review at the University of Minnesota Hospital. The subjects were patients who underwent their first lower extremity revascularization procedure or a primary amputation for vascular disease between January 1, 1989, and January 31, 1995, who had granted consent or had died. The main outcome measures were ability to walk, SF-36 physical function, SF-12, subsequent amputation, and death. RESULTS: The medical records for all 329 subjects were reviewed after the qualifying procedures for details of the primary procedure (62.6% arterial bypass graft, 36.8% angioplasty, 0.6% atherectomy), comorbidities (64% diabetics), severity of disease, and other vascular risk factors. All 166 patients who were living were surveyed by telephone between June and August 1996. At 7 years after the qualifying procedure, 73% of the patients who were alive still had the qualifying limb, although 63% of the patients had died. Overall, at the time of the follow-up examination (1 to 7.5 years after the qualifying procedure), 65% of the patients who were living were able to walk independently and 43% had little or no limitation in walking several blocks. In a multiple regression model, patients with diabetes and patients who were older were less likely to be able to walk at follow-up examination and had a worse functional status on the SF-36 and a lower physical health on the SF-12. Number of years since the procedure was not a predictor in any of the analyses. CONCLUSION: Although the long-term mortality rate is high in the population that undergoes lower limb revascularization, the survivors are likely to retain their limb over time and have good functional status.  (+info)

Isolated femoropopliteal bypass graft for limb salvage after failed tibial reconstruction: a viable alternative to amputation. (5/1348)

PURPOSE: Femoropopliteal bypass grafting procedures performed to isolated popliteal arteries after failure of a previous tibial reconstruction were studied. The results were compared with those of a study of primary isolated femoropopliteal bypass grafts (IFPBs). METHODS: IFPBs were only constructed if the uninvolved or patent popliteal segment measured at least 7 cm in length and had at least one major collateral supplying the calf. When IFPB was performed for ischemic lesions, these lesions were usually limited to the digits or small portions of the foot. Forty-seven polytetrafluoroethylene grafts and three autogenous reversed saphenous vein grafts were used. RESULTS: Ankle brachial pressure index (ABI) increased after bypass grafting by a mean of 0.46. Three-year primary life table patency and limb-salvage rates for primary IFPBs were 73% and 86%, respectively. All eight IFPBs performed after failed tibial bypass grafts remained patent for 2 to 44 months, with patients having viable, healed feet. CONCLUSION: In the presence of a suitable popliteal artery and limited tissue necrosis, IFPB can have acceptable patency and limb-salvage rates, even when a polytetrafluoroethylene graft is used. Secondary IFPB can be used to achieve limb salvage after failed tibial bypass grafting.  (+info)

Level of amputation following failed arterial reconstruction compared to primary amputation--a meta-analysis. (6/1348)

OBJECTIVES: To determine if the level of amputation after failed vascular reconstruction was comparable to the level of amputation after primary amputation. DESIGN AND METHODS: Medline literature search (1975-1996), meta-analysis. RESULTS: The odds ratio of transtibial to transfemoral (TT/TF) amputations was 927/657 = 1.41 (95% confidence limits: 1.278-1.561) in postrevascularisation amputation (PRVA) and 1590/1162 = 1.37 (95% confidence limits: 1.269-1.477) in primary amputation (PA) (p = 0.65). The pooled data show that the number of conversions from transtibial (TT) to transfemoral (TF) amputations due to amputation stump complications were 85/369 (23%) in PRVA against 93/752 (12.4%) in PA (p < 0.01). CONCLUSIONS: We could not detect any difference in TT/TF ratio between PRVA and PA. However, the risk of conversion i.e. reamputation to a higher level is higher after PRVA compared to PA. The chance of having a successful transtibial amputation is approximately 58% for postrevascularisation amputation as well as for primary amputations. An aggressive approach towards vascular reconstruction seems justified.  (+info)

Relationship of femorodistal bypass patency to clinical outcome. Iloprost Bypass International Study Group. (7/1348)

OBJECTIVE: To investigate the relationship between bypass patency, limb survival and clinical symptoms after femorodistal bypass procedures. DESIGN: Multicentre, prospectively planned 12-month postoperative follow-up. PATIENTS AND METHODS: Five hundred and seventeen patients undergoing femorodistal bypass surgery for severe ischaemia. Clinical symptoms, bypass patency were recorded at regular intervals up to 12 months postoperatively. RESULTS: Complete follow-up data was obtained on 498 patients (96%). Fifty-six (17%) of the 341 patients with patent bypasses had either rest pain or ulcers or had undergone major amputation at 12 months. Of the 167 patients with an occluded bypass, 22 patients (13%) had improved clinical symptoms and a total of 59 patients (35%) had avoided major amputation at 12 months. The clinical outcome for patients classified preoperatively as Fontaine stage IV was significantly worse than for those in stage III preoperatively despite similar bypass patency rates. CONCLUSIONS: There is a fair correlation between technical and clinical outcome after femorodistal bypass surgery at 12 months, but there are significant numbers of patients with occluded bypasses who have a good clinical outcome and of patients with patent bypasses who have a poor clinical outcome. The reporting of symptoms in addition to bypass patency would aid the interpretation of surgical results.  (+info)

A case of a malignant melanoma with late metastases 16 years after the initial surgery. (8/1348)

We report a case of a pulmonary metastasis 16 years after the initial surgery for a malignant melanoma. The patient was a 58-year-old Japanese man. In 1976, he had a pigmented skin lesion with a diameter of 8 mm on his right third finger. He received an amputation of the finger and a dissection of the right axillary. Histological examinations of the tumor revealed a feature of a malignant melanoma with infiltration of the papillary layers of the dermis, 1.5 mm in thickness. The histological subtype was considered to be an acral lentiginous melanoma with a mixed spindle-epithelioid cell pattern. There was no regional lymph node metastasis. In December 1992, when he was 74-years-old, a round tumor in the left lower lung was discovered by chest radiography. In February 1993, he received a left lower lobectomy of the lung. Histological examination revealed a feature of a malignant melanoma with predominantly epithelioid cells and this was considered to be a metastasis from the initial skin lesion. Five months after the lobectomy, he died from a hemorrhage of a metastatic brain tumor. This case indicated the importance of periodic, life-long follow-up in treating malignant melanomas.  (+info)

TY - JOUR. T1 - Ambulation and functional outcome after major lower extremity amputation. AU - Chopra, Atish. AU - Azarbal, Amir. AU - Jung, Enjae. AU - Abraham, Cherrie. AU - Liem, Timothy. AU - Landry, Gregory. AU - Moneta, Gregory (Greg). AU - Mitchell, Erica. PY - 2018/1/1. Y1 - 2018/1/1. N2 - Objective: Major lower extremity amputations (MLEAs) remain a significant source of disability. It is unknown whether postamputation functional outcomes and outcome predictability have changed with a population of increasingly aging and obese patients. Accordingly, we sought to evaluate contemporary trends. Methods: A retrospective chart review was performed to identify patients undergoing MLEA using Current Procedural Terminology codes in a university hospital. Demographics, comorbidities, perioperative variables, and outcomes were obtained. Descriptive statistics, t-tests, and χ 2 and multivariate logistic regression modeling were used where appropriate. Survival analyses were performed with the ...
Does closed incision negative wound pressure therapy in non‐traumatic major lower‐extremity amputations improve survival rates? ...
This new edition of Health at a Glance presents the most recent comparable data on the health status of populations and health system performance in OECD countries. Where possible, it also reports data for partner countries (Brazil, China, Colombia, Costa Rica, India, Indonesia, Lithuania, Russian Federation and South Africa). The data presented in this publication come from official national statistics, unless otherwise stated.. This edition contains a range of new indicators, particularly on risk factors for health. It also places greater emphasis on time trend analysis. Alongside indicator-by-indicator analysis, this edition offers snapshots and dashboard indicators that summarise the comparative performance of countries, and a special chapter on the main factors driving life expectancy gains.. ...
Nearly one in 10 patients with ESRD undergo lower extremity amputation in their last year of life, while also having prolonged stays in health care settings and limited access to hospice services, according to a study published in the Journal of the American Society of Nephrology.“These findings are concerning because despite wide-spread recognition that lower extremity amputation often
No matter where it occurs in the body, microvascular disease ups the risk of leg amputation, a new study finds. Microvascular disease damages very small blood vessels. Researchers analyzed data from more than 125,000 U.S. veterans who were followed for an average of nine years.. During follow-up, those with microvascular disease had a 3.7-times increased risk of leg amputation, and accounted for 18% of all amputations.. Those with peripheral arterial disease (PAD) -- narrowing of the arteries away from the heart that is typically found in the legs -- had an almost 14-times greater risk of leg amputation and accounted for 22% of all amputations.. Those with both microvascular disease and PAD had a 23-times increased risk of leg amputation, and accounted for 45% of all amputations, according to the study published July 8 in the journal Circulation.. The researchers concluded that microvascular disease is independently associated with an increased risk of leg amputation, even if the disease occurs ...
The primary findings from this cohort study of elderly Medicare beneficiaries with PAD are that there has been a marked reduction in LE amputations within the United States. Between 2000 and 2008, the overall annual rates of LE amputation significantly decreased from 7,258 to 5,790 per 100,000 patients with PAD. Second, there remains significant geographic variation. Rates of LE amputation were generally higher in the East South Central, West South Central, and South Atlantic regions, whereas the Mountain, New England, and West North Central regions had lower rates (Fig. 1). Of note, geographic variation remained statistically associated with LE amputation after adjustment for clinical factors.. There are multiple potential explanations for the dramatic decrease in the number of LE amputations observed in the current study. First, the importance of prevention of LE amputation and emphasis on early screening and detection of vascular disease in patients at risk for LE amputation may be ...
Major lower extremity amputation remains a common outcome in the setting of acute and chronic limb ischemia. While often viewed as a failure by the vascular surgeon, it should rather be viewed as the...
Yes. Surveying the research and drawing on her own experience, Valerie L. Schade, DPM, AACFAS, says partial ray amputations in this population can lead to complications and further amputation whereas initial TMA procedures can facilitate a durable and functional residual limb. No. Suhad Hadi, DPM, FACFAS, says with the proper protocol in place, first ray amputations can provide good long-term healing and functional outcomes.
It is also important to consider that lower extremity amputation does not represent a traditional medical complication of diabetes like myocardial infarction, kidney failure or retinopathy
This is a phase I single center open label trial study that will enroll sixteen patients requiring semi-elective lower extremity major amputation within a 30 day period for non-infectious complications related to critical limb ischemia (CLI). After enrollment patients will be randomized to amputation at 3,7,14, or 21 days after MSC administration. The investigational treatment uses allogeneic bone marrow derived mesenchymal stem cells at the point of care. Allogeneic MSCs will be injected in the thigh muscles and the gastrocnemius muscle (for below knee amputation only) of sixteen patients undergoing major amputation. Through a review of treatment related adverse events over 6 months we will test the hypothesis that allogeneic MSCs do not result in significant cardiovascular, respiratory, or infectious treatment related adverse events. Through an exploratory investigation we will assess the efficacy of MSCs in promoting freedom from gangrene, revision of amputation, and death after major ...
Below-knee Amputation definition, categories, type and other relevant information provided by All Acronyms. BKA stands for Below-knee Amputation
Productive activity. Twenty-nine participants indicated that the need to work or attend school did not apply to them. In addition, 15 indicated they were not economically self-sufficient.. Discussion. Profile of the study population. The increased ratio of males to females as found in the study is in accordance with the literature2,14,15,16. The majority of participants (21) was younger than 60 years old. This is similar to results from other African studies14,15, but contrasts with those of Hendry18, who found a mean age of 60.3 years in a study based at Tygerberg Hospital. It appears that Diabetes Mellitus (DM) caused amputations at relatively younger ages in the current study population, since Table III shows that DM was the cause of the amputation in 19 instances. Reasons for this might be multifaceted and related to race, South Africas stage of economic development and poverty18,19. The findings pointed to a lower rate of traumatic amputations than those found by Bakkes15 and Kidmas et ...
The upper leg can be amputated at many levels starting with the through the knee amputation and ending with the hip disarticulation. The most common above the knee amputation is through the mid-femur, and this procedure is taught in most surgical programs in the United States. A new modification of the supracondylar amputation of the femur is herein described. A 20-year experience of over 200 procedures is reported using a new modification of the supracondylar amputation of the leg. Two deaths occurred, and a primary healing rate of 95 per cent was obtained. Revision to a higher level was required in only three patients. The advantages of the modified amputation procedure include short operative procedure, minimal blood loss, long femur stump, reduced pain, strong fascial closure, high rate of primary healing, and avoidance of a postoperative flexion contracture at the hip ...
Lower extremity amputations are a significant cause of morbidity, mortality, loss of function and reduced quality of life. Self-management (defined as the process by which an individual adopts an active role in managing the symptoms, treatment, consequences, and lifestyle changes inherent in living with a chronic condition) is an important mechanism for improving health and reducing disability. This study will evaluate a 5-week group-based self-management intervention for Veterans with lower extremity limb loss (VETPALS) and determine its impact upon physical and psychosocial functioning, patient activation, self-efficacy, problem solving, quality of life and positive affect. This study represents one of the only prospective randomized controlled trials of a behavioral intervention for individuals with limb loss. It is expected that results will be used to inform the integration of self-management interventions into the VA Amputation System of Care. The specific primary hypotheses are:. ...
In the Netherlands, 34% of all major lower limb amputations are at the trans-femoral level. Information and consensus is lacking on the optimal length of the residual length of the femur following the amputation. HYPOTHESIS: We hypothesize that femur length should be kept as long as possible considering construction of the knee unit beneath the socket. Evaluation of the hypothesis: Providing a comprehensive overview of considerations involved in choosing the optimal femur length in a trans-femoral amputation. This explorative study includes a scoping review, interviews with surgeons and certified prosthetists (expert opinions), and a biomechanical analysis. The scoping review resulted in 396 articles reduced to 6 articles after reviewing. All articles, the outcomes of the interviews with the experts and the biomechanical analysis suggest that it is important to maximize the length of the residual femur. CONCLUSION: A longer residual limb length is more beneficial for gait parameters, prevention ...
OBJECTIVE: To review the evidence connecting risk factors to falls in adults with a lower limb amputation (LLA) across the continuum of care settings. DESIGN: Systematic review. LITERATURE SURVEY: Electronic database searches were conducted in MEDLINE, Pubmed, CINAHL and EMBASE covering 01/1988 and 01/2016. Non-interventional studies, including cohort and cross-sectional studies were included. Two reviewers independently completed data extraction and quality evaluation. METHODOLOGY: Twelve studies met the inclusion criteria and quality of reporting of reporting was evaluated using the criteria by Tooth et al.. SYNTHESIS: The average quality of reporting score was 19.8, scores ranged from 16 to 29. Studies covered the acute hospital stay after the amputation, inpatient rehabilitation and community living. Falls were a common occurrence, with the cohort studies reporting 20.8% for acute hospital stay to 58% in the community years after the amputation. Injurious falls were also common, occurrence ...
DISCUSSION. Patients with CLLI can require amputations if revascularization cannot be accomplished. Among high risk patients, mortality within 30 days of amputation can range from 4 to 30%, with morbidity from 20 to 37%, because many of these patients suffer sepsis and progressive renal failure.4 Fewer than two thirds of patients with below the knee amputations and fewer than half of above the knee amputation patients achieve successful rehabilitation. Additionally, fewer than 50% of patients achieve complete mobility after amputation. Furthermore, the clinical and economic costs of primary amputation as standard treatment are very high when compared with the cost of revascularization and salvage of the limb. Revascularization therefore offers many advantages: significant rates of limb salvage, lower morbidity and mortality rates 30 days after the procedure, improved functional status and quality of life for patients, better profitability and increased long-term survival.4. Bypass surgery is a ...
The purpose of this paper is to report prosthesis-related issues of importance that were identified by a diverse group of persons living with lower limb amputations (LLA) and prostheses. These perceptions and themes validate some old assumptions and challenge others, report both common and unusual experiences, and indirectly identify the information level of our respondents concerning prostheses. Persons with LLA were identified from computerized rosters at a level one regional trauma center and at the VA Puget Sound Health Care System-Seattle, Division. Inclusion criteria specified that respondents were to: 1) be one or more years post-unilateral amputation at the Symes level (ankle disarticulation) or higher, 2) use their prosthesis at least 5 days a week, 3) read English, and 4) be able to provide informed consent. Respondents completed the Prosthesis Evaluation Questionnaire-field version (PEQ) and the standard form (SF)-36, a health status measure. Of 114 persons who agreed to participate, 92 (85%
... is a specialized dental procedure, whereby one root is removed from a multi-root tooth. The tooth is then stabilized and rendered fully functional with a crown or filling. The multi-root teeth best suited to the root amputation procedure are the molars at the back of the mouth. These large flat teeth have either two or three roots depending on whether they are situated on the upper or lower jaw.. The general purpose of root amputation is to save an injured or diseased tooth from extraction. Most dentists agree that there is no better alternative than retaining a healthy natural tooth, and the root amputation procedure makes this possible. Dental implants, extensive bridgework and custom-made tooth replacements can be expensive and time-consuming. Generally, root amputation and the necessary crown work are less expensive and can be completed in 1-3 short visits.. When is root amputation necessary?. It is important to note that root amputation can only be performed on an otherwise ...
... is a specialized dental procedure, whereby one root is removed from a multi-root tooth. The tooth is then stabilized and rendered fully functional with a crown or filling. The multi-root teeth best suited to the root amputation procedure are the molars at the back of the mouth. These large flat teeth have either two or three roots depending on whether they are situated on the upper or lower jaw.. The general purpose of root amputation is to save an injured or diseased tooth from extraction. Most dentists agree that there is no better alternative than retaining a healthy natural tooth, and the root amputation procedure makes this possible. Dental implants, extensive bridgework and custom-made tooth replacements can be expensive and time-consuming. Generally, root amputation and the necessary crown work are less expensive and can be completed in 1-3 short visits.. When is root amputation necessary?. It is important to note that root amputation can only be performed on an otherwise ...
... is a specialized dental procedure, whereby one root is removed from a multi-root tooth. The tooth is then stabilized and rendered fully functional with a crown or filling. The multi-root teeth best suited to the root amputation procedure are the molars at the back of the mouth. These large flat teeth have either two or three roots depending on whether they are situated on the upper or lower jaw.. The general purpose of root amputation is to save an injured or diseased tooth from extraction. Most dentists agree that there is no better alternative than retaining a healthy natural tooth, and the root amputation procedure makes this possible. Dental implants, extensive bridgework and custom-made tooth replacements can be expensive and time-consuming. Generally, root amputation and the necessary crown work are less expensive and can be completed in 1-3 short visits.. When is root amputation necessary?. It is important to note that root amputation can only be performed on an otherwise ...
... is a specialized dental procedure, whereby one root is removed from a multi-root tooth. The tooth is then stabilized and rendered fully functional with a crown or filling. The multi-root teeth best suited to the root amputation procedure are the molars at the back of the mouth. These large flat teeth have either two or three roots depending on whether they are situated on the upper or lower jaw.. The general purpose of root amputation is to save an injured or diseased tooth from extraction. Most dentists agree that there is no better alternative than retaining a healthy natural tooth, and the root amputation procedure makes this possible. Dental implants, extensive bridgework and custom-made tooth replacements can be expensive and time-consuming. Generally, root amputation and the necessary crown work are less expensive and can be completed in 1-3 short visits.. When is root amputation necessary?. It is important to note that root amputation can only be performed on an otherwise ...
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TY - JOUR. T1 - Level-adjusted perioperative risk of sacral amputations. AU - Devin, Clinton. AU - Chong, Paul Y.. AU - Holt, Ginger E.. AU - Feurer, Irene. AU - Gonzalez, Adriana. AU - Merchant, Nipun. AU - Schwartz, Herbert S.. PY - 2006/9/1. Y1 - 2006/9/1. N2 - Background and Objectives: Sacral amputations above the S2 body often involve increased surgical complexity leading to long-term morbidity. The purpose of this study was to determine whether proximal sacral amputations have substantially higher perioperative morbidity compared with more distal sacral amputations. Methods: We evaluated the effect of sacral amputation level on perioperative outcomes within 90 days of surgery. Outcome measures included blood loss, intensive care unit (ICU) and hospital stay, hospital cost, and incidence of a major and minor morbidity. Survival analyses were adjusted for the level of resection and histological appearance. Results: Thirteen proximal and 14 distal resections were performed. In comparing ...
Diabetes is the leading cause of nontraumatic lower-extremity amputations in the United States, and approximately 14-24% of patients with diabetes who develop a foot ulcer will require an amputation. In fact, foot ulcers precede 85% of diabetes-related amputations.. Keep in mind, diabetes may cause nerve damage that takes away the feeling in feet. It may also decrease blood circulation, making it more difficult to heal a wound or resist infection. Because of these problems, a foreign object in a shoe may go unnoticed and a blister or a sore may develop, possibly leading to an infection or ulcer-however, with diligent care and action, diabetics can reduce the chances of getting an ulcer and avoid a possible amputation.. Remember to execute the above steps regularly for adequate preventative care and visit a podiatrist to monitor your condition; doing so can significantly reduce the chances of lower-extremity amputation and limb loss.. ...
TY - JOUR. T1 - Effect of fibroblast growth factor NV1FGF on amputation and death: a randomised placebo-controlled trial of gene therapy in critical limb ischaemia. AU - Belch, Jill. AU - Hiatt, William R.. AU - Baumgartner, Iris. AU - Driver, I. Vickie. AU - Nikol, Sigrid. AU - Norgren, Lars. AU - Van Belle, Eric. AU - TAMARIS Comm Investigators. PY - 2011/6/4. Y1 - 2011/6/4. N2 - Background Patients with critical limb ischaemia have a high rate of amputation and mortality. We tested the hypothesis that non-viral 1 fibroblast growth factor (NV1FGF) would improve amputation-free survival.Methods In this phase 3 trial (EFC6145/TAMARIS), 525 patients with critical limb ischaemia unsuitable for revascularisation were enrolled from 171 sites in 30 countries. All had ischaemic ulcer in legs or minor skin gangrene and met haemodynamic criteria (ankle pressure ,70 mm Hg or a toe pressure ,50 mm Hg, or both, or a transcutaneous oxygen pressure ,30 mm Hg on the treated leg). Patients were randomly ...
BOVINE digit amputation is a well-established technique for chronic incurable lesions and results in an acceptably high success rate. Traditionally, the indications for amputation were primarily deep digital sepsis. For example, Weaver (1986) lists the indications for amputation as septic pedal arthritis, septic tenosynovitis, osteomyelitis of the pedal or navicular bones, and sepsis of the coronary band, and states that frequently several of the above indications are present.. As part of a different study, I have recorded the reasons for digits that I have amputated over the past few months. Of the 15 cases of amputation, two were the … ...
August 10, 2009 - Limb-sparing surgery, which has been taking the place of amputation for bone and soft tissue sarcomas of the lower limb in recent years, may not provide much or even any additional benefit to patients according to a new review. The analysis, published in the September 15, 2009 issue of CANCER, a peer-reviewed journal of the American Cancer Society, indicates that patients and physicians should rethink the pros and cons of limb-sparing surgery and amputation.. Patients with tumors of the bone or soft tissue in their arms and legs require surgery to remove their cancer. To compare the costs and benefits of amputation compared with limb-sparing surgery in these patients, Canadian researchers Ronald Barr, M.D., M.B., Ch.B., of McMaster University and Jay Wunder, M.D., M.Sc., of the Mount Sinai Hospital and the University of Toronto reviewed all published papers on limb-sparing surgery that also measured patients functional health and quality of life.. The review found that while ...
What is amputation?. Amputation is the complete removal of an injured or deformed body part. An amputation may be the result of a traumatic injury or may be the result of a planned operation where the finger must be removed. Some traumatically amputated fingers may be replanted or reattached, but in some cases, reattachment of the amputated finger is not possible or advisable. Conditions, such as a tumor, may require that a finger be surgically amputated to preserve a persons health.. How is an amputation done?. When an amputation is necessary, the surgeon removes the injured body part and prepares the remaining part for future prosthetic use. This means careful treatment of the skin, muscles, tendons, bones and nerves, so that a prosthesis can be worn with comfort. The surgeon decides the length of the remaining body part based on medical and prosthetic factors.. What can I expect after surgery?. For the first couple of weeks, you should expect some pain, which is controlled with pain ...
Study participants with type 2 diabetes receiving the SGLT2 inhibitor empagliflozin had a lower-limb amputation rate similar to those receiving placebo, according to findings from the EMPA-REG Outcome trial. Endocrine Today previously reported on results from the EMPA-REG Outcome trial indicating that empagliflozin (Jardiance, Boehringer Ingelheim) significantly reduces the risk for
Bypass revascularization efforts to prevent amputation can fail, and many of them do so frequently in the first year. These failures can often be predicted preoperatively. Appropriate application of primary amputation based on data not only improves cost-effectiveness and patients quality of life, but improves our outcomes overall for critical limb ischemia (CLI).. A study out of Loma Linda University involving patients with CLI compared primary amputation vs. revascularization; 43% of patients had a primary amputation (Ann Vasc Surg. 2007;21:458-63). A multivariate analysis showed that patients with major tissue loss, end-stage renal disease (ESRD), diabetes and nonambulatory status were more likely to undergo primary amputation rather than revascularization.. While major tissue loss (Rutherford category 6) is certainly an indication for primary amputation, ambulatory status can represent a gray area in determining the best course. ESRD and diabetes are much more nonspecific factors; probably ...
A recent study revealed that type 2 diabetes drug Invokana has significant cardiovascular benefits, but double the risk of lower-limb amputations.
Looking for cineplastic amputation? Find out information about cineplastic amputation. removal of all or part of a limb or other body part. Although amputation has been practiced for centuries, the development of sophisticated techniques for... Explanation of cineplastic amputation
OSHAs severe injury reporting requirement, now in its second year, continues to show a disturbing trend of seven reported amputations a day at U.S. workplaces. The positive news is that the reports are leading to inspections, citations, and agreements with employers to make changes that will protect many more workers from injury.. An analysis of the first full year of the requirement, under which employers must report any workers hospitalization or amputation, showed that 2,644 amputations were reported in 2015. So far this year, as of July 31, OSHA has received 1,500 amputation reports. The rate works out to be about 7 amputations per day for both years.. Some resulting inspections found pervasive violations at worksites, but as part of a settlement process, employers have agreed to make extensive worksite improvements. Schwans Global Supply Chain created a comprehensive safety and health program for all its facilities nationwide, and hired a professional to run it, after two workers ...
A shocking number of lower limb amputations have been carried out on diabetes patients in North Somerset over the past three years.
The Lawrence + Memorial Hospital Limb Preservation Program is a multi-disciplinary, collaborative program for treating individuals with non-healing, lower-extremity wounds: including critical limb ischemia, peripheral arterial disease, diabetic foot and ankle complications and other cardiovascular disease.
Walmart is recalling a card table and chair set over finger amputation and fall risks. So far, there have been 10 reports of injuries.
Health outcomes for people who have had amputations are affected not only by barriers to access, such as race, socioeconomic status and cost, but also by the type of facility where they receive treatment and rehabilitative services. AMA Journal of Ethics is a monthly bioethics journal published by the American Medical Association.
Upper extremity amputations largely follow the same basic principles as those of any amputation. This article highlights the special considerations involved in acquired amputations at or above the elbow.
link Foot amputation puts teens off smoking: survey Australians may have to prepare themselves for more graphic and confronting anti-smoking ads, after a new survey showed they had a positive impact on young people. The Cancer Institute surveyed 400 New South Wales teenagers, aged 13 to 17, after they watched the amputation of a foot…
Looking for amputation diabetes mellitus? Find out information about amputation diabetes mellitus. A metabolic disorder arising from a defect in carbohydrate utilization by the body, related to inadequate or abnormal insulin production by the pancreas. Explanation of amputation diabetes mellitus
EasyMax Test Strips 50ct. NFRS Next Entry: Diabetic Diet - What Your Body Unconsciously Does to You to To the person above me no type 2 Type 1 Diabetic Muscle Gain Australia Limb Amputations Lower Related diabetes does not change to type 1. Type 1 Diabetic Muscle Gain Australia Limb Amputations Lower Related you have a hard time falling asleep or its easy to arise in darkness. What should I eat? Should Cystic fiosis of the pancreas and its relation to celiac disease - a clinical and pathologic study. Hypoglycemia or postprandial hypoglycemia happens due to excess insulin secretion after a meal.. Kidney disease generally occurs when the nephrons (tiny blood capillaries inside the kidneys) become damaged causing them to lose their filtering capacity. Hypo-attenuated leaflet thickening was found in 6 of 45 patients with peri-interventional single-antiplatelet therapy and in 10 of Diabetes: 34 (21.8) 32 (22.9) 2 Insulin Human Zinc - description side Effects of Insulin Human Zinc dosage (Insulin ...
People that neglect foot and leg pain -- particularly diabetics -- can be at risk for amputation, with diabetic amputations increasing 227 percent since 1980. A new
A prospective observational study involving diabetic patients with ESRD on dialysis was undertaken to evaluate the impact of foot ulcers and amputations on mortality. We studied 192 diabetic patients receiving dialysis at the Manchester Royal Infirmary, UK. These included 17 (8.9%) African-Caribbeans, 38 (19.8%) Indo-Asians and 137 (71.4%) White Europeans aged (mean ± SD) 59 ± 14 years, with a male/female ratio of 121/71. Comprehensive foot assessment was performed at baseline including evaluating for neuropathy, peripheral arterial disease, foot deformities, and foot ulcers/amputation. Patients were followed up for a two-year period. Overall mortality at the end of two years was high (102/192, 53.1%). Patients who had a foot ulcer at baseline (35/59, 59.3%) had a higher mortality after 2 years of follow-up, compared with patients without (55/133, 41.4%, p = 0.028). Similarly, patients who had had an amputation at baseline had higher mortality at 2 years (26/35, 74.3%) compared to patients ...
Patients with severe critical limb ischemia (CLI) due to long tibial artery occlusions are often poor candidates for surgical revascularization and frequently end up with a lower limb amputation. Subintimal angioplasty (SA) offers a minimally invasive alternative for limb salvage in this severely compromised patient population. The objective of this study was to evaluate the results of SA in patients with CLI caused by long tibial occlusions who have no surgical options for revascularization and are facing amputation. We retrospectively reviewed all consecutive patients with CLI due to long tibial occlusions who were scheduled for amputation because they had no surgical options for revascularization and who were treated by SA. A total of 26 procedures in 25 patients (14 males; mean age, 70 +/- A 15 [SD] years) were evaluated. Technical success rate was 88% (23/26). There were four complications, which were treated conservatively. Finally, in 10 of 26 limbs, no amputation was needed. A major ...
Understand Amputation, Above-the-Knee, usages in various health conditions, and side effects and warnings. Explore other smart treatment options, see research evidence, and find out about peoples experiences with many popular treatments, including feedback from patients and professionals.
Introduction Guillotine amputations are performed either for speed or for control of infection before a second, definitive amputation. In guillotine ankle amputation, all of the tissues from the skin to the bone are cut at the level of the ankle without creating flaps of soft tissue (see the image below).
The prevalence of osteomyelitis in the diabetic foot has been found to vary from 18% to 68%. The diabetic foot is also very prone to Charcots osteo-arthropathy (Charcots Foot is a severe complication of diabetes, which leads to soft and brittle foot and ankle bones). Both these conditions result in the destruction or excision of foot bones which leads to deformed feet with altered biomechanics and the appearance of new pressure points in regions of the foot unaccustomed to bearing such forces. This results in formation of recurrent calluses and ulcers, which can get infected. The infection and progression of these ulcers very often lead to loss of the limb in the immune compromised patients of diabetes. Arthrodesis of the foot and ankle may be the only alternative when the joints are destroyed. Amputation above the infected part may have to be considered when limb salvage is not possible. Amputations of the toes and/or part of the foot and limb not only place limitations on the physical ...
Theres a very sobering piece in todays NYT (Nov 7) about amputations - the only good news is that the visibility could well prompt patients to ask more searching questions about whether they are at risk for amputations - especially patients with diabetes, who make up a majority of all the lower-limb amputations that take place each year in the US. Mostly, the story is sad - a sad tale of patients who arent watching their health closely enough and of physicians who dont focus enough on primary care. The photographs are perhaps the best part - quite vivid, and...
Encompass partners with Dialysis Clinics to secure complete diagnosis, care and treatment options for patients suffering from critical lower limb ischemia and foot wounds. The Encompass Network is a web base application that provides clinics with the tools for a thorough screening, systematic refereeing, and complete patient follow through from diagnosis to healing. Our user friendly system requires minimal staff time and the automated referring systems allow the attending physicians to review data and refer patient to a specialist based upon the patient assessment profile and easy "refer now" option. The assessment profile will keep the clinic informed with patient diagnosis, treatments and updates that go on outside of the clinic. The Encompass Network Partners system is a proprietary copyrighted software and proprietary network of professional physicians specific to the PVD/PAD issue ...
Amputation[edit]. Those arguing in favor of that the hudud punishment of amputation for theft often describe the visceral ... These include use of general anesthetic for amputation (in Libya, along with instruction to hold off if amputation might "prove ... 64] In his popular book Islam the Misunderstood Religion, Muhammad Qutb asserts that amputation punishment for theft "has been ... Hudud punishments range from public lashing to publicly stoning to death, amputation of hands and crucifixion.[11] Hudud crimes ...
Amputation[edit]. There is no randomized study in medical literature that has studied the response with amputation of patients ... One version of the McGill pain index, a scale for rating pain, ranks CRPS highest, above childbirth, amputation and cancer.[3] ... In a survey of fifteen patients with CRPS Type 1, eleven responded that their life was better after amputation.[51] Since this ... The limb, or limbs, can experience muscle atrophy, loss of use, and functionally useless parameters that require amputation. ...
Hindquarter amputation[edit]. He was also a pioneer of hindquarter amputation, a radical operation involving division of the ... Pringle, J. H. (1916). "The interpelvi-abdominal amputation". British Journal of Surgery. 4 (14): 283-296. doi:10.1002/bjs. ... Pringle, J. H. (1909). "Some Notes on the Interpelvi-Abdominal Amputation, with a Report of Three Cases". The Lancet. 173 (4460 ... He was a pioneer of treating fractures by fixation and had impressive results with an amputation rate for sepsis of only 2.6%, ...
Amputation The Godwhale, a science fiction novel featuring a protagonist who has undergone this procedure Waist chop, a form of ... The second stage is the amputation. With the removal of almost half of the circulatory system, cardiac function needs to be ... "Translumbar amputation". Cancer. 65 (12): 2668-2675. doi:10.1002/1097-0142(19900615)65:12. 3.0.CO;2-I. PMID 2340466. South ... and then hemicorporectomy or translumbar amputation, referred to as the most revolutionary of all operative procedures. It was ...
The primary amputation was done between 24-48 hours after the injury. The secondary amputation was done after a longer period ... The most common battlefield operation was amputation. If a soldier was badly wounded in the arm or leg, amputation was usually ... Amputations had to be made at the point above where the wound occurred, often leaving men with stub limbs. A flap of skin was ... The flap method was typically used when an amputation had to be done quickly. The bone was cut above flaps of skin and muscle, ...
"Stian Westerhus - Amputation". Discogs.com. Retrieved 2017-01-05. "Lars Danielsson: Sun Blowing - CD". ACT Music. Retrieved ...
How Amputation Works. HowStuffWorks. Retrieved 2016-03-20. Termites: They Bore But They Aren't Boring. HowStuffWorks. Retrieved ...
"Stian Westerhus - Amputation". Discogs.com. Retrieved 2017-01-05. "SNARKY PUPPY RELEASING NEW LP 'CULCHA VULCHA' APRIL 29TH". ...
Adams, Dean (2008-04-26). "Amputation For Hayden". Superbike Planet. Hardscrabble Media LLC. Retrieved 2010-08-18. "Roger Lee ...
Thoughts on Amputation; being a Supplement to the Letters on Compound Fractures, and a Comment on Dr. Bilguer's book on this ... Johann Ulrich von Bilguer, a Prussian military surgeon, had written against amputation, and a book of his had appeared in ... John R. Kirkup (27 May 2007). A History of Limb Amputation. Springer. p. 76. ISBN 978-1-84628-509-7. Samuel H. Greenblatt; T. ...
McWhertor, Michael (21 September 2010). "NeverDead Preview: Amputation Amplified". Kotaku Australia. Retrieved 9 December 2012 ...
An amputation between the knee and ankle joints transecting the tibia, or shinbone, is referred to as a transtibial amputation ... Unlike transtibial amputations, transfemoral amputations occur between the hip and the knee joints, along the length the femur ... Over 185,000 amputations occur annually, with approximately 86% of incidents being lower-limb amputations. The majority of ... regardless of initial amputation location. The rate of amputation has decreased significantly with the introduction and ...
It usually causes permanent damage to the limb; often amputation is necessary. Among the ancient Greeks, the arteries were ...
... s can necessitate amputation; if it is in the finger for more than 2-3 days, advice should be sought from a doctor. ...
Single above elbow amputation." This class includes people with several disability types include cerebral palsy and amputations ... A3 swimmers use around 41% more oxygen to walk or run the same distance as some one without a lower limb amputation. A2 ... Sometimes the health examination may not be done on site for amputees in this class because the nature of the amputation could ... The nature of an A2 and A3 swimmers's amputations in this class can effect their physiology and sports performance. Because of ...
They even considered amputation. "I didn't know that at the time," Mortimer said, speaking in front of the gym full of ... Amputation was a possibility, although Mortimer was only informed of it in 2011. She spent six months in a wheelchair and ...
PACK, GEORGE T. (1961-11-01). "Interscapulomammothoracic Amputation for Malignant Melanoma". Archives of Surgery. 83 (5): 694. ...
III.--Amputation of the Shoulder-Joint. By B. J. D. Irwin, M.D., Assistant Surgeon, U. S. Army," New Series, Vol. XXXVIII, ...
They were talking about amputation." But Strong made a full recovery and returned to compete in 2010 and won bronze in the ...
"Remembering Lisa Bufano, A Dancer Who Found Beauty In Amputation , ARTery". Artery.wbur.org. Retrieved 2015-03-29. "Persistence ... "Artist Takes Inspiration from Amputation". Npr.org. Retrieved 2015-03-29. Lisa Bufano "Lisa Bufano - the Spiderwoman". Body ... "Artist Takes Inspiration from Amputation". NPR. Retrieved 2013-11-12. "Personal and Portfolio site for Andy Cavatorta". ...
On the Hindquarter Amputation, Roy. Melb. Hosp. clin. Rep. Centenary Volume, p. 189, 1948. War injuries of the chest and ...
His right leg required amputation. On September 11, 2013, Mikondo died from cancer. Paladin denied that Mikonda's death was the ...
His injuries necessitated medical amputation. He alleges that this was in retaliation for actively working to secure justice ...
Culley, Jon (14 April 1996). "'There was talk of amputation'". London: The Independent. Retrieved 4 September 2010. http://www. ...
Peoples, John (October 1, 1994). "Amputation: 'Toll To Be Paid'". The Seattle Times. Retrieved April 5, 2010 Biography portal ...
... infections metabolic imbalance trauma Congenital amputation is the least common reason for amputation, but it is projected[by ... Congenital amputation is birth without a limb or limbs, or without a part of a limb or limbs. It is known to be caused by blood ... Congenital amputation can also occur due to maternal exposure to teratogens during pregnancy. The exact cause of congenital ... A baby with congenital amputation can be missing a portion of a limb or the entire limb, which results in the complete absence ...
... below-knee amputations, 1.3% through-knee amputations, and 7.8% above-knee amputations [AKAs]) related to acute and critical ... below-knee amputations, 1.3% through-knee amputations, and 7.8% above-knee amputations [AKAs]) related to acute and critical ... below-knee amputations, 1.3% through-knee amputations, and 7.8% above-knee amputations [AKAs]) related to acute and critical ... below-knee amputations, 1.3{\%} through-knee amputations, and 7.8{\%} above-knee amputations [AKAs]) related to acute and ...
Drugs, such as iloprost, may help prevent amputation in people who quit smoking but still have blocked arteries. Other drugs, ... Nonetheless, thromboangiitis obliterans invariably worsens in people who continue to smoke, and amputation is commonly required ... In contrast, if people with thromboangiitis obliterans quit smoking, amputation is rarely required. ...
Three patients underwent amputation for non-manageable infection after internal hemipelvectomy. Hospital mortality was 8.8%. ...
... after amputation of unspecified digits, 2(9.5%) after below knee amputation and 3(14.3%) remained unhealed after debridement ... required debridement and/or amputation. Among the group of 21 episodes requiring debridement and/or amputation, 11(52.4%) ... James [8]. At this hospital there have been an average of 41 lower limb amputations in diabetics in each of the five years ... Malone JM, Snyder M, Anderson G, Bernhard VM, Holloway GA, Bunt TJ: Prevention of amputation by diabetic education. Am J Surg. ...
These four cases were treated immediately with resuscitation, control of hemorrhage, early amputation, repeated debridement and ... only four cases underwent arterial embolization before amputation and one case received artery embolization after amputation[6 ... c) The view after the amputation. (d) On the fourth postoperative day, severe soft tissue necrosis and wound infection was ... Amputation is a life-saving surgery and the surgical process should be simplified to minimize the "second hit" to the patients ...
A history of prior foot problems (such as foot ulcer, amputation of foot complex, surgery or a combination of these) was found ... Foot surgery in this context referred to all types of surgery of the foot, including amputation of the foot complex, surgical ... The patients history of prior diabetic foot problems, such as foot ulcers, foot complex amputation, and/or other types of foot ... A non-healing, infected foot ulcer may require surgical debridement and amputation.(18) A few case reports have highlighted ...
ABS can range from mild to severe, and with the more serious conditions, ABS can cause miscarriages and limb amputations if the ... In severe cases, although rare, amputation of the affected limbs, and use of prosthetics ...
... amputation, therapeutic angiogenesis, and others. Medication includes medications to dilate blood vessels, medications to ...
Information about amputation, including why and how its carried out, recovery and rehabilitation, prosthetics, stump care and ... How amputations are carried out. Amputations can be carried out under general anaesthetic (where youre unconscious) or using ... If youre having a planned amputation, you might find it reassuring to talk to someone whos had a similar type of amputation. ... The risk of serious complications is lower in planned amputations than in emergency amputations. ...
Limb loss and amputations have different causes including birth defects, cancer and injuries. Physical therapy and counseling ... Leg amputation - discharge (Medical Encyclopedia) Also in Spanish * Leg or foot amputation (Medical Encyclopedia) Also in ... Amputation - traumatic (Medical Encyclopedia) Also in Spanish * Foot amputation - discharge (Medical Encyclopedia) Also in ... ClinicalTrials.gov: Amputation (National Institutes of Health) * ClinicalTrials.gov: Amputation, Traumatic (National Institutes ...
Traumatic amputation is the loss of a body part, usually a finger, toe, arm, or leg, that occurs as the result of an accident ... Fingertip injuries and amputations. orthoinfo.aaos.org/en/diseases--conditions/fingertip-injuries-and-amputations. Updated July ... Traumatic amputation is the loss of a body part, usually a finger, toe, arm, or leg, that occurs as the result of an accident ... Amputation is painful and very frightening.. *Control bleeding by applying direct pressure to the wound. Raise the injured area ...
Forequarter amputation is amputation of the arm, scapula and clavicle. It is usually performed as a last resort to remove a ... A further amputation had left him open to infection, and now he was facing the prospect of an awful, agonising death over a ... "British surgeon tells of how he carried out amputation via text message". Telegraph.co.uk. Retrieved 2017-07-06. "Surgeon saves ... "British surgeon tells of how he carried out amputation via text message". Telegraph.co.uk. Retrieved 2017-07-06. ...
Above-the-Knee Amputation By Meg Marinis, Director of Medical Research , Nov 29th, 2012 ... Besides severe infection, other indications for an AK amputation include: • Trauma or injury. • Poor blood flow that cannot be ... Internationally, this type is also known as a transfemoral amputation because it occurs in the thigh, through the femoral bone ... Alex performed an above-the-knee (AK) amputation on Arizona. ... with limb loss in this country has a transfemoral amputation. ...
FORT DRUM, N.Y. -- Loyalty, duty, respect, selfless service, honor, integrity and personal courage are the values that the Army expects all Soldiers to exemplify. Most Soldiers live every day by these values, but one Soldier went above and beyond what was expected of him, despite the hardships he has endured.
The victims of a growing mental disorder are obsessed with amputation.. By Carl Elliott ... I published an article about wannabes for the Atlantic Monthly and another on the legality of such amputations with my ... His apparent certainty that nothing short of amputation can help these people is underscored by ominous music and a screen shot ... Robert Smith, the Scottish surgeon, has six more acceptable candidates for amputation. A popular wannabe listserv, whose ...
Voluntary amputation, for example, was regarded as a fetish, perhaps arising because an amputees stump resembles a phallus, ... Voluntary amputation, for example, was regarded as a fetish, perhaps arising because an amputees stump resembles a phallus, ... Moreover, my brain seemed to be perfectly adapted to a one-handed way of doing things immediately after my amputation...as if I ... I find the foregoing unsensational discussion of our condition very heartening, and only hope that amputation can rapidly be ...
Background Transmetatarsal amputation (TMA) is a relatively common operation that is performed to safeguard limb viability. ... Impact of amputation level and comorbidities on functional status of nursing home residents after lower extremity amputation. J ... encoded search term (Transmetatarsal Amputation) and Transmetatarsal Amputation What to Read Next on Medscape. Related ... In a study comparing digital amputation (n = 77) with transmetatarsal amputation (n = 70) in 147 diabetic patients with ...
Ashanti Norals developed septic shock resulting in personal injuries including amputation of four limbs," the complaint states. ...
The amputation will allegedly require future corrective surgery and has led baby Benjamin to experience "significant mental and ... "Every year there are steady reports made to the FDA of penile amputations due to the Mogen Clamp," the complaint states, ... These reports account for only a small portion of actual amputations in the medical community.". Despite their knowledge of the ... Benjamins mother says that "the long history of penile amputations" associated with the Mogen Clamp, "unlike other ...
Definition of tarsotibial amputation. Provided by Stedmans medical dictionary and Drugs.com. Includes medical terms and ...
... part of the HCA/HealthONE network and the only Amputation Prevention Center® in the region, ... About Amputation Prevention Centers of America® Amputation Prevention Centers of America® is an exclusive offering from ... An Amputation Prevention Center® is a surgically focused inpatient/outpatient program operating in conjunction with the ... Rose Medical Center, part of the HCA/HealthONE network and the only Amputation Prevention Center® in the region, will be ...
"When you hear about someone going in for a circumcision and it turned into a partial amputation, theres going to be a reaction ...
Media in category "Amputations". The following 97 files are in this category, out of 97 total. ... Amputation being performed in a hospital tent, Gettysburg, 07-1863 - NARA - 520203.jpg 3,000 × 2,388; 1.48 MB. ... Amputation being performed in a hospital tent, Gettysburg, 07-1863 - NARA - 520203.tif 3,000 × 2,388; 6.83 MB. ... List of Amputations performed on HMS Leander, 1816 Wellcome L0048459.jpg 3,221 × 5,228; 2.57 MB. ...
Seriously considering asking my Ortho for an elective amputation. Im 32 years old, mom of 2. Ive had 4 knee surgeries (tibial ... Amputation is the removal of a body extremity by trauma or surgery. Many have undergone amputation or have been living with a ... Im ready to ask for an amputation. Ive been doing A LOT of reading on osteotomies, knee replacements and amputations and the ... but that if that does not work that amputation is the only option. He also said that amputation now is also an option, no one ...
  • These four cases were treated immediately with resuscitation, control of hemorrhage, early amputation, repeated debridement and closure of the wounds. (biomedcentral.com)
  • A baby with congenital amputation can be missing a portion of a limb or the entire limb, which results in the complete absence of a limb beyond a certain point where only a stump is left is known as transverse deficiency or amelia. (wikipedia.org)
  • There were no patients with dementia, on dialysis, or with bilateral MLEAs who were ambulatory after amputation. (elsevier.com)
  • 50% of patients receiving MLEAs are ambulatory after amputation. (elsevier.com)
  • Amnion ruptures can be caused by: teratogenic drugs (e.g. thalidomide, which causes phocomelia), or environmental chemicals ionizing radiation (atomic weapons, radioiodine, radiation therapy) infections metabolic imbalance trauma Congenital amputation is the least common reason for amputation, but it is projected[by whom? (wikipedia.org)
  • Heavy exposure to chemicals, smoking, alcohol, poor diet, or engaging in any other teratogenic activities while pregnant can increase the risk of having a child born with a congenital amputation. (wikipedia.org)
  • Congenital amputation can also occur due to maternal exposure to teratogens during pregnancy. (wikipedia.org)
  • If there is congenital amputation of the fingers, plastic surgery can be performed by using the big toe or second toes in place of the missing fingers of the hand. (wikipedia.org)
  • citation needed] In rare cases of amniotic banding syndrome, if diagnosed in utero, fetal surgery may be considered to save a limb which is in danger of amputation. (wikipedia.org)
  • Two cases died from hemorrhage before and after operation respectively, and one case was transferred to a local hospital two days after amputation and was lost to follow-up. (biomedcentral.com)
  • The most popular method of treatment for congenital amputation is having the child be fit for a prosthesis which can lead to normal development, so the muscles don't atrophy. (wikipedia.org)
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