Abstract
Overall Anatomic Severity and Prognosis in Patients Presenting with, or Requiring a Major Lower Limb Amputation from Civilian Trauma
Highlights
Trauma is one of the most frequent mechanisms causing limb amputation [1]
Major limb amputations are rare in the civilian population, the largest numbers being seen in the military, often caused by explosive devices [2], and are considered to have, in general, a poorer prognosis, needing more aggressive treatments [1]
Lower limb amputations have been the topic of several studies by the military [2], but, to our knowledge, only one study has focused on the civilian population [5]
Summary
Trauma is one of the most frequent mechanisms causing limb amputation [1]. major limb amputations are rare in the civilian population, the largest numbers being seen in the military, often caused by explosive devices [2], and are considered to have, in general, a poorer prognosis, needing more aggressive treatments [1].There is evidence of wide-ranging variations in outcome following major lower limb trauma [3], with a substantial proportion of patients experiencing longterm disability. Trauma is one of the most frequent mechanisms causing limb amputation [1]. Major limb amputations are rare in the civilian population, the largest numbers being seen in the military, often caused by explosive devices [2], and are considered to have, in general, a poorer prognosis, needing more aggressive treatments [1]. Studies in civilian trauma have demonstrated the importance of maintaining maximum length and performing infracondileal amputations rather than supracondileal, reporting better physical quality of life [4]. The causes of lower limb amputation in the civilian population are diverse, often stemming from traumas resulting in multiple injuries, many of them life-threatening [1,5]. Lower limb amputations have been the topic of several studies by the military [2], but, to our knowledge, only one study has focused on the civilian population [5]
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