RATIONALE We present 4 cases of symmetrical peripheral gangrene (SPG) associated with use of inotropic agent to elevate blood pressure. SPG is a relatively rare phenomenon characterized by symmetrical distal ischemic damage that leads to gangrene of 2 or more sites in the absence of large blood vessel obstruction, where vasoconstriction rather than thrombosis is implicated as the underlying pat...

BACKGROUND Amputation and pain may have considerable impact on health-related quality of life. OBJECTIVES The purpose of this study was to assess the impact of pain on health-related quality of life in a population of war related bilateral lower limb amputees. MATERIALS AND METHODS The Veterans and Martyrs Affairs Foundation (VMAF) database documented 578 patients with bilateral lower limb ...

Electrical burns are among the most devastating of burn injuries. High voltage electrical injuries result in extensive deep tissue damage and are associated with multiple complications, long term morbidity, and a high mortality rate. We describe the case of a 47 year-old electric company linesman who suffered a high voltage electrical injury (HVEI) of 14,000 volts to bilateral hands and wrists ...

UNLABELLED The human body conducts electricity very well. Direct contact with electric current can be lethal. The passage of electric current through the body is capable of producing a wide spectrum of injuries, including serious damage to the heart, brain, skin and muscles. Naked high-voltage electric cables negligently abandoned in residential, commercial and industrial areas are a recipe for...

Landmine explosions cause most of the war injuries in the battlefield. Amputations resulting from severe injuries reveal serious problems despite the improvements in surgery. Bilateral lower limb amputations have more impact than unilateral on social life. Some 29 cases with lower limb amputations due to landmine injuries were treated in the Department of Orthopaedics and Traumatology, Gülhane ...

BACKGROUND To assess the 5-year and 10-year survival rates of major (above ankle disarticulation level) dysvascular lower limb amputees attending a sub-regional Disablement Services Centre (DSC) specialising in amputee rehabilitation. Also to investigate the association between survival rates, cause of dysvascularity, level of amputation, smoking status and occupational status. SETTING The st...

Pes cavus is a deformity of the foot characterized by an abnormally increased arch and hyperextension of the toes that gives the foot the appearance of a claw. We encountered a case of a 54-year-old male patient who presented with total right foot amputation due to injury with the tea harvesting engine. During physical examination, we observed a right foot amputation in the level of the metatar...