The physiological cost of walking is greater in bilateral amputees (BA) than in both unilateral amputee and non-pathological gait. The aim of this study was to describe the physiological costs and other standard gait characteristics in a sample population of BA, walking at self-selected (comfortable) speeds. Amputees had bilateral trans-tibial, bilateral trans-femoral or trans-tibial/trans-femo...

Correspondence: William T Hinchliffe Department of Renal Medicine, sunderland Royal Hospital, Kayll Road, sunderland, Tyne and Wear, UK sR4 7TP Tel +44 0191 5656256 Fax +44 0191 5699208 email [email protected] Dialysis access remains the “Achilles heel” of maintenance hemodialysis. When candidate vessels have been exhausted in pursuit of fashioning native vascular access, alternative vessel...

INTRODUCTION The rare Nievergelt syndrome (NS) is the most severe form of mesomelic dysplasia and is characterized by disproportionate shortness of the limbs. The aim of this case report was to describe the clinical and radiological features of a rare case of NS. PRESENTATION OF CASE Here we describe a female patient originally presenting with bilateral hand, lower leg, and foot deformities a...

BACKGROUND Long-term consequences and the activities of daily living of bilateral lower limb amputation are not well documented. OBJECTIVES The aims of our study were to identify the long-term effects of bilateral lower extremity amputations on daily activities and understand how these amputees cope with their mobility assistive devices. STUDY DESIGN Cross-sectional study. METHODS A total...

background: providing care to a disable relative at home exposes the caregiver to a potentially higher risk of physical and mental problems. we measured health-related quality of life (hrqol) and its determinants among the caregivers of the iranian survivors of the iran-iraq war (1980–1988) with bilateral lower-limb amputation. methods: data were collected from 464 individuals comprising war-re...

Ischemic steal syndrome is a rare complication of arteriovenous fistula creation due to high blood flow in low resistance vein and reversal away from the higher distal arterial bed into vein. Several options including ligation fistula, banding, proximalization inflow revascularization interval (DRIL). 68-year-old gentleman known case diabetes mellitus, atrial fibrillation, ischemic heart diseas...

BACKGROUND Patients on antiplatelet therapy following percutaneous coronary intervention can become coagulopathic due to infection. Performing regional anesthesia for bilateral surgery in such cases is challenging. We report a case of successful combined inguinal femoral and subgluteal sciatic nerve blocks (CFSNBs) for simultaneous bilateral below-knee amputations in a coagulopathic patient on ...

There are approximately 1.6 million lower extremity amputees in the United States. Lower extremity amputees are subject to increased physical demands proportional to their level of amputation. Lower extremity amputees have a 6-fold higher risk of developing radiographic osteoarthritis in the ipsilateral hip and a 2-fold risk of developing radiographic osteoarthritis in contralateral hip when co...