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Related Experiment Videos

Lower limb landmine injuries.

S Necmioglu1, M Subasi, C Kayikci

  • 1Department of Orthopaedic Surgery, University of Dicle, Diyarbakir, Turkey. sanec@dicle.edu.tr

Prosthetics and Orthotics International
|June 3, 2004
PubMed
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Landmine injuries often lead to lower-limb trauma. Early amputation decisions are crucial due to high infection and revision rates in limb salvage attempts for landmine victims.

Area of Science:

  • Trauma Surgery
  • Orthopedic Surgery
  • Reconstructive Surgery

Background:

  • Landmine injuries present complex challenges in trauma care.
  • Evaluating treatment outcomes for lower-limb landmine injuries is critical for improving patient management.

Purpose of the Study:

  • To compare the outcomes of limb salvage versus early amputation in patients with lower-limb landmine injuries.
  • To identify factors influencing treatment success and complications in landmine-related trauma.

Main Methods:

  • Retrospective analysis of 163 patients with lower-limb landmine injuries treated between 1993 and 2001.
  • Patients were divided into Group I (limb salvage) and Group II (primary amputation).
  • Outcomes including infection, revision rates, and secondary amputations were compared between groups.

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Main Results:

  • Limb salvage (Group I) had higher rates of infection (51.2%) and revision (65.8%) compared to primary amputation (Group II) (infection 27.7%, revision 16.8%).
  • A significant percentage of limb salvage patients (36.5%) ultimately required amputation.
  • Primary amputation involved various levels, with trans-tibial amputation being the most common.

Conclusions:

  • Limb salvage for landmine injuries is associated with high complication rates, including infection and the need for subsequent amputations.
  • Early, accurate preoperative assessment is vital for determining the optimal treatment strategy, often favoring primary amputation.
  • Careful soft tissue, vascular, and neurological assessment is paramount in managing crush injuries from landmines.