Presentation: We report a case of a 60-year-old male with bilateral lower limb amputations who sustained a fracture to his right residual femur after weight bearing on his prosthetic leg during therapy. This was attributed to his raised body mass index that fell in the morbidly obese category.
Diagnosis: Patient was referred for orthopaedic management and reviewed by the multidisciplinary prosthetic rehabilitation team following the fracture recovery.
Treatment: He was deemed unsuitable for further prosthetic usage and ultimately referred to the national weight management service and the bariatric team.
Discussion: Fracture of the residual limb in an amputee is not a common occurrence. There is a scarcity of information regarding fractures in an amputation stump of obese individuals. This is an unusual case which highlights the significance of body weight on lower limb prosthetic usage, impact on rehabilitation and the need to address weight management at an earlier stage post amputations.
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Oper Orthop Traumatol
January 2025
Klinik für Unfall‑, Hand und Wiederherstellungschirurgie, Universitätsmedizin Rostock, Schillingallee 35, 18057, Rostock, Deutschland.
Objective: Treatment with transcutaneous osseointegrated prosthesis systems (TOPS) for short femoral amputation stumps aims to restore independent walking ability after proximal femoral amputation by direct bone-guided prosthesis anchorage. This cannot be safely achieved with conventional socket prostheses due to the mechanically inadequate socket contact surface.
Indications: Treatment of patients with short transfemoral stumps who cannot be mobilized sufficiently with conventional socket prostheses.
J Educ Health Promot
December 2024
Department of General Surgery, All India Institute of Medical Sciences Jodhpur, Rajasthan, India.
Background: Major amputations are a standard procedure being done for various etiologies of the lower limb. Surgical site infections often complicate the postoperative outcome of patients. Negative pressure wound therapy has evolved to have a preventive role in SSI.
View Article and Find Full Text PDFJ Rehabil Med
January 2025
Centre for Interdisciplinary Rehabilitation Research of Greater Montreal (CRIR) - Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal, Montréal, Québec, Canada; School of Rehabilitation, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
Objective: To determine the strength of the association between residual limb neuropathic pain intensity and the number of neuromas, prosthetic, functional, and participation outcomes, and assess whether ultrasound (US) biomarkers of neuromas differ between pain intensities.
Design: Cross-sectional study.
Subjects: Twenty-two participants with a transtibial amputation for more than 12 months, with and without residual limb neuropathic pain.
J Vasc Surg Cases Innov Tech
April 2025
Hospital Universitário Professor Edgard Santos, Federal University of Bahia, Salvador, Bahia, Brazil.
Objective: The integrity of the plantar flap is important for transmetatarsal amputation (TMA) classic closure. However, in ischemic wounds, the plantar flap can be compromised, making the TMA coverage difficult. The aim of this study was to compare the outcomes of rotational vs long plantar flaps for transmetatarsal amputation closure in patients with dysvascular partial foot amputations.
View Article and Find Full Text PDFUrol Case Rep
January 2025
Urology Department, Hasan Sadikin Academic Medical Center, Universitas Padjajaran Bandung, Indonesia.
Penile amputation following circumcision is a rare but serious complication. Reconstructing the glans poses a complex surgical challenge, and several techniques have been proposed to address this issue. We present the case of a 10-year-old boy who experienced complete glans amputation 14 hours after circumcision.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!