Skip to main content

Amputation

  • Chapter
  • First Online:
Ballistic Trauma

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Kirkup J. A history of limb amputation. London: Springer; 2007. p. 184.

    Google Scholar 

  2. Harris AM, Althausen PL, Kellam JF, Bosse MJ, Castillo R. Complications following limb-threatening lower extremity trauma. J Orthop Trauma. 2009;23(1):1–6.

    Article  PubMed  Google Scholar 

  3. Gregory RT, Gould RJ, Peclet M, Wagner JS, Gilbert DA, Wheeler JR, et al. The mangled extremity syndrome (M.E.S.): a severity grading system for multisystem injury of the extremity. J Trauma. 1985;25(12):1147–50.

    Article  CAS  PubMed  Google Scholar 

  4. Howe HR Jr, Poole GV Jr, Hansen KJ, Clark T, Plonk GW, Koman LA, et al. Salvage of lower extremities following combined orthopedic and vascular trauma. A predictive salvage index. Am Surg. 1987;53(4):205–8.

    PubMed  Google Scholar 

  5. Johansen K, Daines M, Howey T, Helfet D, Hansen ST Jr. Objective criteria accurately predict amputation following lower extremity trauma. J Trauma. 1990;30(5):568–72. discussion 72-3

    Article  CAS  PubMed  Google Scholar 

  6. Russell WL, Sailors DM, Whittle TB, Fisher DF Jr, Burns RP. Limb salvage versus traumatic amputation. A decision based on a seven-part predictive index. Ann Surg. 1991;213(5):473–80. discussion 80-1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Tscherne H, Oestern HJ. A new classification of soft-tissue damage in open and closed fractures (author's transl). Unfallheilkunde. 1982;85(3):111–5.

    CAS  PubMed  Google Scholar 

  8. Rajasekaran S, Sabapathy SR. A philosophy of care of open injuries based on the Ganga hospital score. Injury. 2007;38(2):137–46.

    Article  CAS  PubMed  Google Scholar 

  9. Bosse MJ, MacKenzie EJ, Kellam JF, Burgess AR, Webb LX, Swiontkowski MF, et al. A prospective evaluation of the clinical utility of the lower-extremity injury-severity scores. J Bone Joint Surg Am. 2001;83-A(1):3–14.

    Article  CAS  PubMed  Google Scholar 

  10. Brown KV, Ramasamy A, McLeod J, Stapley S, Clasper JC. Predicting the need for early amputation in ballistic mangled extremity injuries. J Trauma. 2009;66(4 Suppl):S93–7. discussion S7-8

    Article  PubMed  Google Scholar 

  11. Doukas WC, Hayda RA, Frisch HM, Andersen RC, Mazurek MT, Ficke JR, et al. The military extremity trauma amputation/limb salvage (METALS) study: outcomes of amputation versus limb salvage following major lower-extremity trauma. J Bone Joint Surg Am. 2013;95(2):138–45.

    Article  PubMed  Google Scholar 

  12. Penn-Barwell JG, Myatt RW, Bennett PM, Sargeant ID. Severe lower extremity combat trauma study G, severe lower extremity combat trauma Se LSG. Medium-term outcomes following limb salvage for severe open tibia fracture are similar to trans-tibial amputation. Injury. 2015;46(2):288–91.

    Article  CAS  PubMed  Google Scholar 

  13. Ladlow P, Phillip R, Coppack R, Etherington J, Bilzon J, McGuigan MP, et al. Influence of immediate and delayed lower-limb amputation compared with lower-limb salvage on functional and mental health outcomes post-rehabilitation in the U.K. military. J Bone Joint Surg Am. 2016;98(23):1996–2005.

    Article  PubMed  Google Scholar 

  14. NICE Guideline. Fractures (complex): assessment and management. In: NICE, ed.: NICE; 2016.

    Google Scholar 

  15. Penn-Barwell JG. Outcomes in lower limb amputation following trauma: a systematic review and meta-analysis. Injury. 2011;42(12):1474–9.

    Article  PubMed  Google Scholar 

  16. Penn-Barwell JG, Bennett PM, Kay A, Sargeant ID. Group fSLECTS. Acute bilateral leg amputation following combat injury in UK servicemen. Injury. 2014;45(7):1105–10.

    Article  CAS  PubMed  Google Scholar 

  17. Gallico GG 3rd, Ehrlichman RJ, Jupiter J, May JW Jr. Free flaps to preserve below-knee amputation stumps: long-term evaluation. Plast Reconstr Surg. 1987;79(6):871–8.

    Article  PubMed  Google Scholar 

  18. Tintle SM, Keeling JJ, Shawen SB, Forsberg JA, Potter BK. Traumatic and trauma-related amputations: part I: general principles and lower-extremity amputations. J Bone Joint Surg Am. 2010;92(17):2852–68.

    Article  PubMed  Google Scholar 

  19. Eldridge JC, Armstrong PF, Krajbich JI. Amputation stump lengthening with the Ilizarov technique. A case report. Clin Orthop Relat Res. 1990;256:76–9.

    Google Scholar 

  20. Romano RL, Burgess EM. Level selection in lower extremity amputations. Clin Orthop Relat Res. 1971;74:177–84.

    Article  CAS  PubMed  Google Scholar 

  21. Loon HE. Below-knee amputation surgery. Artif Limbs. 1962;6(2):86–99.

    Google Scholar 

  22. Penn-Barwell JG, Fries CA, Street L, Jeffery S. Use of topical negative pressure in british servicemen with combat wounds. Eplasty. 2011;11:e35.

    PubMed  PubMed Central  Google Scholar 

  23. Ramasamy A, Cooper GA, Sargeant ID, Evriviades D, Porter K, Kendrew JM. An overview of the pathophysiology of blast injury with management guidelines. Orthop Trauma. 2013;27(1):1–8.

    Article  Google Scholar 

  24. Atesalp AS, Erler K, Gur E, Koseglu E, Kirdemir V, Demiralp B. Bilateral lower limb amputations as a result of landmine injuries. Prosthetics Orthot Int. 1999;23(1):50–4.

    CAS  Google Scholar 

  25. Krajbich JI, Pinzur MS, Potter BK, Stevens PM. Atlas of amputations and limb deficiencies. 4th ed. Rosemont: American Academy of Orthopaedic Surgeons; 2016.

    Google Scholar 

  26. MacKenzie EJ, Bosse MJ, Pollak AN, Webb LX, Swiontkowski MF, Kellam JF, et al. Long-term persistence of disability following severe lower-limb trauma. Results of a seven-year follow-up. J Bone Joint Surg Am. 2005;87(8):1801–9.

    PubMed  Google Scholar 

  27. MacKenzie EJ, Bosse MJ, Castillo RC, Smith DG, Webb LX, Kellam JF, et al. Functional outcomes following trauma-related lower-extremity amputation. J Bone Joint Surg Am. 2004;86-A(8):1636–45.

    Article  PubMed  Google Scholar 

  28. Stokes W. On supra-condyloid amputation of the thigh. Med Chir Trans. 1870;53:175–186.1.

    Article  CAS  PubMed  Google Scholar 

  29. Burgess EM, Romano RL, Zettl JH, Schrock RD Jr. Amputations of the leg for peripheral vascular insufficiency. J Bone Joint Surg Am. 1971;53(5):874–90.

    Article  CAS  PubMed  Google Scholar 

  30. Persson BM. Sagittal incision for below-knee amputation in ischaemic gangrene. J Bone Joint Surg Br. 1974;56(1):110–4.

    CAS  PubMed  Google Scholar 

  31. Termansen NB. Below-knee amputation for ischaemic gangrene. Prospective, randomized comparison of a transverse and a sagittal operative technique. Acta Orthop Scand. 1977;48(3):311–6.

    Article  CAS  PubMed  Google Scholar 

  32. Robinson KP, Hoile R, Coddington T. Skew flap myoplastic below-knee amputation: a preliminary report. Br J Surg. 1982;69(9):554–7.

    Article  CAS  PubMed  Google Scholar 

  33. Pinzur MS, Gottschalk FA, Pinto MA, Smith DG. Controversies in lower-extremity amputation. J Bone Joint Surg Am. 2007;89(5):1118–27.

    Article  PubMed  Google Scholar 

  34. Ertl J. Uber amputationsstumpfe. Chirug. 1949;20:218–24.

    Google Scholar 

  35. Mongon ML, Piva FA, Mistro Neto S, Carvalho JA, Belangero WD, Livani B. Cortical tibial osteoperiosteal flap technique to achieve bony bridge in transtibial amputation: experience in nine adult patients. Strateg Trauma Limb Reconstr. 2013;8(1):37–42.

    Article  Google Scholar 

  36. Taylor BC, Poka A. Osteomyoplastic transtibial amputation: technique and tips. J Orthop Surg Res. 2011;6:13.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Keeling JJ, Shawen SB, Forsberg JA, Kirk KL, Hsu JR, Gwinn DE, et al. Comparison of functional outcomes following bridge synostosis with non-bone-bridging transtibial combat-related amputations. J Bone Joint Surg Am. 2013;95(10):888–93.

    Article  PubMed  Google Scholar 

  38. Pinzur MS, Beck J, Himes R, Callaci J. Distal tibiofibular bone-bridging in transtibial amputation. J Bone Joint Surg Am. 2008;90(12):2682–7.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Bennett PM, Sargeant ID, Midwinter MJ, Penn-Barwell JG. Unilateral lower limb loss following combat injury: medium-term outcomes in British military amputees. Bone Joint J. 2013;95-B(2):224–9.

    Article  CAS  PubMed  Google Scholar 

  40. Sanders JE, Fatone S. Residual limb volume change: systematic review of measurement and management. J Rehabil Res Dev. 2011;48(8):949–86.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Brown KV, Dharm-Datta S, Potter BK, Etherington J, Mistlin A, Hsu JR, et al. Comparison of development of heterotopic ossification in injured US and UK armed services personnel with combat-related amputations: preliminary findings and hypotheses regarding causality. J Trauma. 2010;69(Suppl 1):S116–22.

    Article  PubMed  Google Scholar 

  42. Hagberg K, Branemark R, Gunterberg B, Rydevik B. Osseointegrated trans-femoral amputation prostheses: prospective results of general and condition-specific quality of life in 18 patients at 2-year follow-up. Prosthetics Orthot Int. 2008;32(1):29–41.

    Article  Google Scholar 

  43. Muderis MA, Tetsworth K, Khemka A, Wilmot S, Bosley B, Lord SJ, et al. The osseointegration group of Australia accelerated protocol (OGAAP-1) for two-stage osseointegrated reconstruction of amputated limbs. Bone Joint J. 2016;98-B(7):952–60.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jowan G. Penn-Barwell .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Penn-Barwell, J.G., Kendrew, J., Sargeant, I.D. (2017). Amputation. In: Breeze, J., Penn-Barwell, J., Keene, D., O'Reilly, D., Jeyanathan, J., Mahoney, P. (eds) Ballistic Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-61364-2_31

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61364-2_31

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61363-5

  • Online ISBN: 978-3-319-61364-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics