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Pain After Lower Limb Amputations: Insights from the Heidelberg Amputation Registry.
Medicina (Kaunas)
November 2024
Department of Orthopaedics, Heidelberg University Hospital, Schlierbacher Landstraße 200a, 69118 Heidelberg, Germany.
: The experience of unpleasant sensory phenomena after lower limb amputations (LLAs), including phantom limb pain (PLP), phantom limb sensation (PLS), and residual limb pain (RLP), impacts global healthcare and adversely affects outcomes post-amputation. This study aimed to describe the distribution of PLP, PLS, and RLP among patients with LLAs registered in the Heidelberg Amputation Registry. The primary objective was to determine the prevalence of sensory abnormalities across different amputation levels and causes.
View Article and Find Full Text PDF[Traumatic hemipelvectomy : An uncommon case in trauma surgery].
Unfallchirurgie (Heidelb)
August 2024
Klinik für Unfallchirurgie, Orthopädie, Plastische und Handchirurgie, Universitätsklinikum Augsburg, Stenglinstraße 2, 86156, Augsburg, Deutschland.
The challenge in treating traumatic hemipelvectomy is the dynamics of the complex and life-threatening consequences of the injury. These include skin and soft tissue defects, osseous, neural and vascular injuries as well as the subsequent hemostatic derangement and organ dysfunction as part of the shock process. The treatment requires rapid and targeted decisions to save the patient's life.
View Article and Find Full Text PDFManagement of a large traumatic hemipelvectomy defect following a truck crush injury: a case report.
Ulus Travma Acil Cerrahi Derg
May 2024
Department of Plastic, Reconstructive and Aesthetic Surgery, Marmara University Faculty of Medicine, İstanbul-Türkiye.
This case report explores the management of a traumatic hemipelvectomy-a rare and devastating injury characterized by a high mortality rate. The patient, a 12-year-old male, suffered right lower extremity amputation and right hemipelvectomy due to a deglov-ing injury from a non-vehicle-related accident at another institution. Initially, an urgent reconstruction of the right pelvic region and suprapubic tissue defects was performed using a posterior-based fasciocutaneous flap.
View Article and Find Full Text PDFHealthcare Utilization Following Hemipelvectomy or Hip Disarticulation in the Military Health System.
Mil Med
January 2024
Department of Rehabilitation, Walter Reed National Military Medical Center, Bethesda, MD 20814, USA.
Introduction: Amputations at the hip and pelvic level are often performed secondary to high-energy trauma or pelvic neoplasms and are frequently associated with a prolonged postoperative rehabilitation course that involves a multitude of health care providers. The purpose of this study was to examine the health care utilization of patients with hip- and pelvic-level amputations that received care in the U.S.
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