Case: We report a case of a 77-year-old man, with bilateral below-knee amputee, in whom the anterior approach (AA) for a left total hip arthroplasty was used successfully, with 3-year follow-up. This report also summarizes the key studies in the literature on this subject.
Conclusions: The utility of AA surgery performed in the setting of bilateral below-knee amputation has not been previously described. We describe the surgical technique, including considerations and pearls in the amputee population, and particular technical tips related to the use of a fracture table and thin-wire femoral traction for optimum control of the residual limb.
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http://dx.doi.org/10.2106/JBJS.CC.20.00438 | DOI Listing |
Disabil Rehabil
January 2025
School of Health and Medicine, Lancaster University, Lancaster, United Kingdom.
Purpose: This study sought to explore the experiences of receiving formal psychological support following non-vascular-related lower limb amputation.
Materials And Methods: Semi-structured interviews were conducted with five individuals (3 males, 2 females, aged 38-56) with lower limb loss. Two had unilateral above knee amputations, one a unilateral below knee amputation, one a unilateral through-knee amputation, and one had bilateral above knee amputations.
Injury
January 2025
Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA; Orthopedic Surgery Service, Health+Hospitals/Bellevue, New York, NY, USA. Electronic address:
Introduction: In city hospitals, subway-related traumatic amputations are a frequent pattern of injury, however there is a paucity of literature on this specific injury pattern. The purpose of this study was to describe the epidemiology of subway-related traumatic amputations, as well as compare them to non-subway traumatic amputations.
Patients And Methods: Retrospective review was performed at a single Level-1 trauma center in a metropolitan area.
J Hand Surg Asian Pac Vol
December 2024
Department of Hand and Reconstructive Microsurgery, National University Health System, Singapore.
Major limb amputation in a child is a rare but devastating injury associated with significant psychosocial and financial burden. This, combined with the higher growth and remodelling potential despite segmental limb loss, decreases the threshold for replantation in children. Advances in microsurgical techniques and a better understanding of such injuries have led to lower limb replantation becoming a feasible option, with good long-term functional outcomes, even in bilateral amputations.
View Article and Find Full Text PDFCureus
October 2024
Department of Orthopedics, Abilene Sports Medicine and Orthopedics, Abilene, USA.
Peripheral artery disease (PAD) compromises blood flow, often leading to the need for amputation. This case report details a 72-year-old male with a history of PAD and type 2 diabetes mellitus who underwent below-knee amputation (BKA) due to atherosclerotic limb disease. He subsequently faced complications such as wound dehiscence, prolonged wheelchair dependency, and an eventual contralateral BKA.
View Article and Find Full Text PDFCase Rep Oncol
October 2024
Department of Hematology Oncology, University of Virginia Medical Center, Charlottesville, VA, USA.
Introduction: Purpura fulminans is a rare but fatal manifestation of bacteremia that can present in immunocompromised hosts. This can have a profound impact on patients, including recipients of allogeneic hematopoietic stem cell transplant. Despite aggressive therapy, mortality can be as high as 60% and most patients require amputation of multiple extremities.
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