Incidence and type of complications following traumatic extremity amputations: preliminary report from a teaching hospital
Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 2
Abstract
Amputation is one of the oldest surgical procedure and a good amputation results in optimal functional outcome by providing healthy residual limb. Advances in prosthetics has enabled amputee with diverse options and better functionality. There is also decrease in the overall burden of amputation as a result of better treatment of causative disorders and proper limb salvage techniques. Complications, however, pose challenges in regain of necessary functions and include an array of disorders related to the procedure, technique and other factors. An understanding of common and practical complications is helpful in their anticipation and relevant prohibitive measures. Apart from it, a comprehensive study that highlights pattern of amputations and related complications provides database for preventive and management strategy. A total of 69 cases of extremity amputations were included within a defined period of Jan 2011 to June 2016. Relevant demographic data were noted along with other details amputation and complications. An attempt is also made for co-morbidities associated in cases with complications. Males (88.40%) and lower extremity (66.66%) were involved more commonly than females and upper extremity. Below knee was commonest (50.72%) lower and below elbow along with digital amputations were commonest (15.94% each) upper extremity amputations. The significant complication that required increased hospital stay or additional procedures were noted in 34 (49.27%) cases. Delayed wound healing, wound dehiscence, painful neuroma, stiffness, exposed bone and phantom pain were some of major complication noted in the study. A brief notes on patient characteristics has been attributed to the nature of trauma, co-morbidities and substance abuse among the complicated cases. The early recognition of complication and prompt management goes a long way in abetment of agony and discomfort of patient affecting overall outcome.
Authors and Affiliations
Ganesh Singh Dharmshaktu, Binit Singh, Shailendra Singh Bhandari, Pankaj Singh
Keywords
Related Articles
- EP ID EP486671
- DOI 10.22271/ortho.2018.v4.i2d.39
- Views 87
- Downloads 0
Functional evaluation of cemented hemiorthroplasties as a treatment option for unstable intertrochanteric fractures in the elderly: A prospectively case series study
Background: The Management of unstable osteoporotic intertrochanteric fractures in elderly is challenging because of difficult anatomical reduction, with a high risk of morbidity and mortality, The aim of study is to do...
Evaluation of surgical treatment of inter-condylar humerus fracture with olecranon osteotomy approach
Background: Inter-condylar fracture distal humerus in adults often pose a challenge to orthopaedic surgeons because of the complex anatomy, fracture pattern and limited bone stock of this region. Adequate exposure of the...
Accuracy of free hand technique of transpedicular screw fixation in correction of spinal deformities
Introduction: Pedicular screw fixation is now the novel technique to correct spinal deformities. Navigation or CT guided systems are not easily available in Indian scenario. Free hand technique of pedicle screw insertion...
Clinical and functional outcomes of surgical management of distal femur fractures using distal femur locking compression plate
Distal femur fractures are reported to be less than 1% of all fractures and between 4 to 6 percent of all femoral fractures. Knowledge of anatomy of articular block with trapezoidal shape on axial section and anterior bo...
Early clinical results of volar plate arthroplasty for neglected fracture dislocations of pip joint in hand
We present the early clinical results of volar plate arthroplasty for neglected fracture dislocation of PIP joint in hand, as they most commonly dislocated and are difficult to treat. At one year follow up, patient showe...