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Estimating Recent US Limb Loss Prevalence and Updating Future Projections.
Arch Rehabil Res Clin Transl
December 2024
Department of Orthopaedic Surgery, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Objective: To estimate limb loss prevalence in the United States (US) by etiology and anatomical position and the trends of limb loss over 40 years.
Design: We used the National Inpatient Sample, Healthcare Cost and Utilization Project to estimate current and future limb loss prevalence in the US and by anatomical location. Prevalence estimates were based on the incidence and duration of the disease.
Thighplasty for Transfemoral Amputations and Osseointegration: Lower Rate of Complications Than Thighplasty for Body Contouring.
Plast Reconstr Surg Glob Open
December 2024
Department of Orthopaedic Surgery, The University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Background: Modern techniques in lower extremity amputation have made significant advances to improve prosthetic control and soft-tissue envelopes through various techniques, including medial thighplasties. These advances are necessary to enhance the fit and functionality of the prosthesis in transfemoral amputations.
Methods: We performed a retrospective review of all thighplasties performed at our institution in patients with ipsilateral transfemoral amputation from November 2017 to December 2021.
Complications and Outcomes of Bone-Anchored Prostheses of the Hand: A Systematic Review.
J Hand Surg Am
November 2024
Department of Orthopedic Surgery, Division of Hand & Upper Extremity Surgery, New York University Langone Health, New York City, NY; Center for Amputation Reconstruction, New York University Langone Health, New York City, NY.
Purpose: The purpose of this study was to conduct a systematic review evaluating the reported complications and outcomes of bone-anchored prostheses in digit and partial hand amputees.
Methods: A literature review of primary research articles on osseointegration and bone-anchored prostheses for digit and partial amputees was performed. The Medline, Embase, Scopus, and Cochrane Library databases were queried.
Early Identification, Intervention, and Prevention of Hospital-Acquired Pressure Injuries Using a Nurse-Driven Pressure Injury Prevention Program.
Clin Nurse Spec
August 2024
Author Affiliations: Rehab Clinical Nurse Specialist (Dr McCray) and Instructor (Dr Donaldson), US Army, University of South Alabama, Mobile, Alabama.
Purpose/objectives: The purpose of this quality improvement project was to reduce the hospital-acquired pressure injury (HAPI) rate to less than 1.177 per 1000 patient-days, increase staff competency and care in pressure injury prevention best practices through implementation of a nurse-driven pressure injury prevention program, to engage patients in pressure injury prevention through implementation of skin rounds, and improve staff adherence to documentation requirements for pressure injury interventions on an amputee/stroke unit.
Description Of The Project/program: HAPIs can lead to negative patient outcomes including pain, infection, extended hospitalization, and morbidity.
Lifetime cost-effectiveness analysis osseointegrated transfemoral versus socket prosthesis using Markov modelling.
Bone Jt Open
March 2024
Mayo Clinic, Jacksonville, Florida, USA.
Aims: Prior cost-effectiveness analyses on osseointegrated prosthesis for transfemoral unilateral amputees have analyzed outcomes in non-USA countries using generic quality of life instruments, which may not be appropriate when evaluating disease-specific quality of life. These prior analyses have also focused only on patients who had failed a socket-based prosthesis. The aim of the current study is to use a disease-specific quality of life instrument, which can more accurately reflect a patient's quality of life with this condition in order to evaluate cost-effectiveness, examining both treatment-naïve and socket refractory patients.
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