BACKGROUND Diabetic foot (DF) is the main cause of nontraumatic lower extremity amputation. Early recognition and management of risk factors for foot complications may prevent amputations and other adverse outcomes. MATERIALS AND METHODS At our hospital we have a protocol for the management of patients hospitalized because of DF. We collected clinical and laboratory data, details of diabetes ...

BACKGROUND: Amputation is one of the most common surgical procedures in world. One criteria for assessing amputation mangled extremity severity score (MESS). The MESS criterion has been used many years, but accuracy remains unknown. aim this study to know MESS. METHOD: Keywords “relevance,” “mangled score,” and “amputation,” its combination were entered into PubMed database. Four evaluators rev...

Forty three patients with unilateral traumatic amputations were reviewed as to the use of prostheses and employment consequences of the amputation. Seventeen of 19 below-elbow amputees, and 12 of 24 above-elbow amputees used their prostheses. Non-users compared to users of prostheses were characterized by: 1) Higher level of amputation 2) Non-dominant arm amputation and 3) Younger age at the ti...

INTRODUCTION Factors predicting short-term amputation during hospital treatment of patients admitted for acute diabetic foot infections are of interest for clinicians managing the acute episode. METHODS A retrospective clinical records analysis of 78 consecutive patients hospitalized for acute diabetic foot infections was performed to identify predictive factors for short-term amputation by c...

BACKGROUND Stump problems (SPs) secondary to traumatic lower limb amputation had a crucial influence on amputees' ability to return to living and work. The purpose of this study was to investigate the surgical management strategies of the SPs after above-ankle amputation of the lower limb secondary to trauma. METHOD A cohort of clinical cases, who were troubled by SPs after above-ankle amputa...

OBJECTIVE Diabetes-related lower-extremity amputation (LEA) rates are elevated in blacks compared with whites in the U.S., but are lower in African Caribbeans in the U.K., whereas anecdotal reports suggest high rates in the Caribbean. We aimed to establish the incidence and risk factors for diabetes-related LEA in a Caribbean population. RESEARCH DESIGN AND METHODS We conducted an incident an...

INTRODUCTION There is paucity of case reports that describe the successful reimplantation of a penis after amputation. We sought to report on self-inflicted penile amputation and comment on its surgical management and review current literature. AIM To report on self-inflicted penile amputation and comment on its surgical management and review current literature. METHODS A 19-year-old male w...

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 amputatio...

The United States Armed Forces have been engaged in combat operations for more than 10 years. Not enough can be said about nor enough gratitude expressed to our troops for their commitment and sacrifice during this period. This supplement to the Journal of the American Academy of Orthopaedic Surgeons is dedicated to the men and women of the United States Armed Services and to their families and...