A 50-year-old man with diabetes (patient 1) underwent left below-knee amputation (BKA) for a nonhealing infected foot ulcer. Necrotic eschars developed on the residual limb (Figure 1). He was referred to the dermatology department postoperatively for wound care prior to a planned above-knee amputation (AKA). A 62-year-old man with diabetes (patient 2) underwent bilateral BKA for gangrene second...

BACKGROUND Amputation impairs the ability to balance. We examined adaptation strategies in balance following dysvascularity-induced unilateral tibial amputation in skilled prosthetic users (SPU) and first fitted amputees (FFA) (N = 28). METHODS Excursions of center of pressure (COP) were determined during 20 s quiet standing using a stabilometry system with eyes-open on both legs or on the no...

INTRODUCTION Over the past ten years, the Prosthetics Clinical Services Department of the Rehabilitation Institute of Chicago has treated thirty-six (36) persons with bilateral arm amputations. Of these, twenty-three had sustained high-level bilateral limb loss, High-level is defined as the absence of a functional physiological elbow joint In some cases the anatomical elbow is present, but the ...

BACKGROUND Major limb amputation is reported to be a major but preventable public health problem that is associated with profound economic, social and psychological effects on the patient and family especially in developing countries where the prosthetic services are poor. The purpose of this study was to outline the patterns, indications and short term complications of major limb amputations a...

penile amputation is an uncommon urological emergency. although rare, traumatic amputation of penis is a challenging injury to treat. however, modern microsurgical reconstruction techniques have improved success rate of penile replantation and become the procedure of choice for managing these patients. herein, we report on a case of penile amputation following an industrial accident.

Necrotizing fasciitis (NF) is a severe bacterial infection involving fascia and subcutaneous tissue. It generally affects upper or lower extremities unilaterally, and there are few reports of bilateral-extremity NF. Here, we report a case of a 43-year-old male with type 1 diabetes who had NF on the left foot and subsequently developed NF on the other foot 1 week later. The patient survived with...

Amniotic constriction band is a rare clinical entity with varied manifestations that range from a combination of congenital malformations to isolated malformations that are unique to each patient. The etiology of this entity remains unknown. Herein, we highlight two cases of amniotic constriction band that presented to our unit with unique clinical characteristics. To the best of our knowledge,...

In limb injuries (amputation, laceration injuries, or compartment syndrome), a circulatory insufficiency with a total or subtotal ischemia may occur and jeopardize the result of reconstructive surgery. Transcutaneous oxygen monitoring has been shown to reflect tissue perfusion and has been advocated to predict the final outcome of major vascular trauma of the limb. Unfortunately, in normal atmo...

In traumatic amputations in the upper extremities, replantation has been commonly attempted with high success rates. However, successful implies both maintenance of length and good functional outcomes restored hand. Since thumb accounts for 40% to 50% hand function, utmost priority is on salvage thumb. cases when not feasible, various efforts have made replace thumb, including pollicization ind...

An adolescent girl, a known case of spina bifida with systemic lupus, presented with bluish discolouration of three toes of the right foot. She had thrombosis of bilateral popliteal arteries. She underwent percutaneous transluminal angioplasty (PTA) of both legs and Chopart amputation of the right foot. Systemic lupus erythematosus (SLE) occurring in a patient with spina bifida has not been pre...