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Traumatic amputations.

Jon Clasper1, Arul Ramasamy2

  • 1Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK ; The Royal British Legion Centre for Blast Injury Studies, Imperial College London, London, UK.

British Journal of Pain
|October 31, 2015
PubMed
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Traumatic amputations from explosions and complex injuries are common in conflict, often necessitating immediate or delayed surgical amputation. This review covers injury patterns, management, and outcomes for these severe combat wounds.

Area of Science:

  • Trauma surgery
  • Military medicine
  • Orthopedic surgery

Background:

  • Traumatic amputations are psychologically devastating injuries frequently seen in armed conflict.
  • Explosion-related injuries and unsalvageable limb trauma commonly lead to primary amputations.
  • Late amputations are increasingly recognized, often stemming from sequelae of complex foot injuries.

Purpose of the Study:

  • To review the epidemiology of traumatic amputations in conflict.
  • To outline the acute management strategies for these injuries.
  • To discuss the complications and outcomes associated with traumatic amputations.

Main Methods:

  • Literature review focusing on traumatic amputations in military settings.
  • Analysis of epidemiological data related to amputation causes and incidence.
Keywords:
Acute painchronic painmusculoskeletal painneuralgiapain

Related Experiment Videos

  • Synthesis of information on acute care, surgical management, and long-term outcomes.
  • Main Results:

    • Traumatic amputations are a significant cause of morbidity in conflict zones, often resulting from explosions.
    • Primary amputations are frequently required for life-saving or limb-salvage purposes.
    • Late amputations represent a growing concern, linked to the long-term effects of severe lower extremity trauma.

    Conclusions:

    • Understanding the epidemiology and management of traumatic amputations is crucial for improving patient outcomes in conflict.
    • Early and effective management, alongside recognition of late amputation sequelae, is essential for addressing this complex injury pattern.
    • Further research into the long-term outcomes and rehabilitation of individuals with traumatic amputations is warranted.