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Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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Published on: October 29, 2021

Traumatic limb amputations at a level I trauma center.

L Kobayashi1, K Inaba2, G Barmparas1

  • 1Division of Trauma Surgery and Surgical Critical Care, USC + LAC Medical Center, University of Southern California, 1200 North State Street, Inpatient Tower (C), Room C5L100, Los Angeles, CA, 90033, USA.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary

Traumatic limb amputations are rare but lead to severe injuries. Lower extremity amputations (LEA) result in more complications and long-term care needs than upper extremity amputations (UEA).

Keywords:
AmputationsAmputeesComplicationsEpidemiologyInjuryTraumaTraumatic amputation

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Area of Science:

  • Trauma surgery
  • Epidemiology
  • Reconstructive surgery

Background:

  • Traumatic amputations of the upper (UEA) and lower extremities (LEA) are infrequent but severe injuries.
  • Understanding their epidemiology and outcomes is crucial for trauma care.

Purpose of the Study:

  • To analyze the epidemiology and outcomes of traumatic upper and lower extremity amputations.
  • To compare the characteristics and complications between UEA and LEA.

Main Methods:

  • Retrospective review of the trauma registry at Los Angeles County + University of Southern California Medical Center (1996-2007).
  • Inclusion of 117 patients with traumatic amputations, analyzing demographics, injury mechanisms, and outcomes.
  • Comparison of UEA and LEA patient groups.

Main Results:

  • Automobile vs. pedestrian accidents were the most common cause (27.4%).
  • Lower extremity amputations (LEA) were more frequent in pedestrian accidents (93.8%), while upper extremity amputations (UEA) were more common in work-related incidents (81.5%).
  • Patients with LEA had higher complication rates (55.2% of all complications) and were more likely to require discharge to a skilled nursing facility (29.6% vs. 4.8%).

Conclusions:

  • Traumatic amputation is a rare outcome of civilian trauma, rarely the primary cause of death.
  • Lower extremity amputations (LEA) are associated with more severe injuries, higher complication rates, and greater need for long-term care compared to upper extremity amputations (UEA).
  • While mortality did not differ significantly, LEA patients experienced longer hospital stays and more frequent need for rehabilitation services.