Treatment of the severely traumatized or mangled lower extremity poses significant challenges. The Mangled Extremity Severity Score (MESS) is a scale that uses objective criteria to assist with acute management decisions. Most research on the MESS has been in adults or combined series with few children. The study was performed to investigate the MESS in children exclusively. The MESS was applie...

Purpose: Foot ulceration in persons with diabetes is the most frequent precursor to amputation, which impairs their activities. The aim of this study was describe factors that lead amputation a diabetic foot, and propose management strategy prevent major amputation.
 Methods: Cross-sectional conducted at Qazi Hussain Ahmad Hosptial, Nowshera Pakistan, from Jan, 2016, July 2021, comprised p...

The objective of this report is to prove that even after development of ischemic necrosis of the muscles and nerves, we can still save the extremity or the knee and even several days after arterial injury, perform arterial repair and other mentioned procedures. Thus we can retain a functionally satisfactory leg or knee joint, which is far better than classic above-knee amputation and utili...

Although only a small portion of all lower-extremity amputations in the United States are of traumatic origin, almost half of all living amputees have sustained traumatic amputations. This particular epidemiology is explained by the younger age, and thus longer life expectancy, of traumatic amputees. In this group especially, restoration and lifelong maintenance of ambulation and mobility is es...

BACKGROUND A diabetic foot or lower extremity amputation may be exacerbated by or related to the smoking habits and history of the patient. PATIENTS AND METHODS Of the 112 diabetic patients in this retrospective study, 46 were non-smokers and 66 were smokers. The smokers were further categorized into patients who: 1) did not cease smoking; 2) ceased in the immediate post-operative period but ...

Summary. Combat injury of the limbs is characterized by multilevel open combined tissue damages, severity which in some cases makes it impossible salvage tactics.
 Objective: based on analysis literature, to investigate possibility using MESS (the mangled extremity score - assessment a broken limb) when establishing indications for early amputation severely injured limb due combat trauma.&...

OBJECTIVE To evaluate the measurement properties of the Upper Extremity Functional Status module of the Orthotics and Prosthetics User Survey (OPUS). DESIGN Methodological research on an outcome measure administered by clinical interview. PATIENTS A convenience sample of 61 adults who had unilateral upper limb amputations and completed rehabilitation at the Institute for Rehabilitation in L...

Warfare-related open fractures with large soft tissue defects create a significant reconstructive challenge. The objective of this article is to review current and evolving treatment strategies for soft tissue coverage of warfare-induced extremity wounds. A review of previously published literature and current data evaluating combat-injured personnel requiring extremity flap reconstruction perf...

The effect of muscle loss due to transfemoral amputation, on energy expenditure of hip joint and individual residual muscles was simulated. During swing phase of gait, with each muscle as an ideal force generator, the lower extremity was modeled as a two-degree of freedom linkage, for which hip and knee were joints. According to results, muscle loss will not lead to higher energy expenditure of...