OBJECTIVES To evaluate the functional outcome, morbidity, and viability of foot salvage in diabetic patients. MATERIALS AND METHODS This prospective case series was conducted from March 2007 to December 2012 at the department of surgery Pakistan Ordnance Factories Hospital, Wah Cantt, Pakistan. 123 males and 26 female patients were included in the study. All the patients were treated after ge...

To cite: Bain K, Parizh D, Kopatsis A, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016218359 DESCRIPTION A man aged 34 years post jump from the platform onto an incoming train presented as a level I trauma notification with bilateral mangled lower extremities and tourniquets in place (figure 1). Our patient was evaluated in a multidisciplinary fashion,...

Background and purpose - Historically, high 30-day and 1-year mortality post-amputation rates (> 30% and 50%, respectively) have been reported in patients with a transtibial or higher non-traumatic lower extremity amputation (LEA). We evaluated whether allocating experienced staff and implementing an enhanced, multidisciplinary recovery program would reduce the mortality rates. We also determin...

SUMMARY OBJECTIVE: Few physical exercise programs for children with limb loss have been described in detail recently. We provided information regarding the characteristics and effectiveness of an alternative rehabilitation developed lower-limb amputation. METHODS: An 8-year-old boy a below-knee amputation 9-year-old bilateral amputee girl performed program one 2-h session per week 20 weeks, aim...

Introduction: High voltage electrical burn is one of the most devastating injuries involving upper limbs in Bangladesh. It causes serious disfigurement and may lead to loss whole limb. The aim this study was see severity electric injury pausing amputations at different levels two tertiary level referral hospitals Methods: A prospective observational designed collect data from Burn Plastic Surge...

Visual disturbance, hypertension, convulsions, and unconsciousness developed in a 70-year-old man after cisplatin chemotherapy and upper-limb amputation for osteosarcoma. MR imaging revealed bilateral reversible abnormalities in the occipital, parietal, and frontal white matter. Clinical and neuroradiologic features corresponded to reversible posterior leukoencephalopathy syndrome (RPLS), which...

In this repeated measures case study, we show that sensory deafferentation after limb amputation leads to changes in cortical somatotopic maps which are reversible after restoration of sensory input. Using magnetoencephalography (MEG), we observed in a child with bilateral hand transplants large-scale shifts in somatosensory lip cortical representation from anatomic hand area to anatomic face r...

Ainhum or Dactylolysis Spontanea is an idiopathic condition due to constriction rings or grooves on the digits that result in auto amputation. The ainhum commonly affects the fifth toe and usually the compromise is bilateral. This disease affects mainly African American adults between 20 to 50 years old from tropical and sub-tropical regions. We report a 75 years-old man with clinical and radio...

We describe a very unusual contact charcoal burn associated with acute central cord syndrome. The patient is a known case of cervical degenerative disc disease who accidentally slipped and fell down in hot charcoal with sudden neck hyperextension. This lead to acute central cord syndrome, quadriplegia, loss of sensation, and bilateral lower limb 4 degree burn requiring amputation. The case is r...

INTRODUCTION The congenital constriction ring of lower extremity is very uncommon and rare condition. The actual incidence in general population is not known. In English literature, very few cases are reported time to time as congenital constriction band syndrome associated with musculoskeletal disorder like congenital talipes equino varus. The lesion can involve skin only or goes to deeper str...