Cargando…
Limb Salvage Versus Amputation: A Review of the Current Evidence
In the trauma situation where the trauma team is faced with a severely injured limb, it requires judicious thinking and evaluating not only the injury in isolation but the patient as a whole when considering the management options. The aim must be to give the best quality of life and avoid repeated...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7522192/ https://www.ncbi.nlm.nih.gov/pubmed/33005513 http://dx.doi.org/10.7759/cureus.10092 |
_version_ | 1783588125157621760 |
---|---|
author | Qureshi, Mobeen K Ghaffar, Ali Tak, Sameem Khaled, Ahmad |
author_facet | Qureshi, Mobeen K Ghaffar, Ali Tak, Sameem Khaled, Ahmad |
author_sort | Qureshi, Mobeen K |
collection | PubMed |
description | In the trauma situation where the trauma team is faced with a severely injured limb, it requires judicious thinking and evaluating not only the injury in isolation but the patient as a whole when considering the management options. The aim must be to give the best quality of life and avoid repeated admissions to hospital for associated complications in the future. The decision to amputate or salvage a limb should be based on numerous factors, such as the patient’s pre-injury status, injury factors (soft tissue injury, location, contamination and physiological status), patient’s wish and available resources. The biggest challenge when faced with a complex limb injury is deciding what management route to take with a satisfactory outcome for the patient being the main goal. Many studies have been undertaken looking at the outcome of successful limb salvage versus primary amputation. Studies such as the Lower Extremity Assessment Project (LEAP) study have concluded that there was no difference of outcome at the two-year stage between the two strategies. |
format | Online Article Text |
id | pubmed-7522192 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-75221922020-09-30 Limb Salvage Versus Amputation: A Review of the Current Evidence Qureshi, Mobeen K Ghaffar, Ali Tak, Sameem Khaled, Ahmad Cureus Emergency Medicine In the trauma situation where the trauma team is faced with a severely injured limb, it requires judicious thinking and evaluating not only the injury in isolation but the patient as a whole when considering the management options. The aim must be to give the best quality of life and avoid repeated admissions to hospital for associated complications in the future. The decision to amputate or salvage a limb should be based on numerous factors, such as the patient’s pre-injury status, injury factors (soft tissue injury, location, contamination and physiological status), patient’s wish and available resources. The biggest challenge when faced with a complex limb injury is deciding what management route to take with a satisfactory outcome for the patient being the main goal. Many studies have been undertaken looking at the outcome of successful limb salvage versus primary amputation. Studies such as the Lower Extremity Assessment Project (LEAP) study have concluded that there was no difference of outcome at the two-year stage between the two strategies. Cureus 2020-08-28 /pmc/articles/PMC7522192/ /pubmed/33005513 http://dx.doi.org/10.7759/cureus.10092 Text en Copyright © 2020, Qureshi et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Qureshi, Mobeen K Ghaffar, Ali Tak, Sameem Khaled, Ahmad Limb Salvage Versus Amputation: A Review of the Current Evidence |
title | Limb Salvage Versus Amputation: A Review of the Current Evidence |
title_full | Limb Salvage Versus Amputation: A Review of the Current Evidence |
title_fullStr | Limb Salvage Versus Amputation: A Review of the Current Evidence |
title_full_unstemmed | Limb Salvage Versus Amputation: A Review of the Current Evidence |
title_short | Limb Salvage Versus Amputation: A Review of the Current Evidence |
title_sort | limb salvage versus amputation: a review of the current evidence |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7522192/ https://www.ncbi.nlm.nih.gov/pubmed/33005513 http://dx.doi.org/10.7759/cureus.10092 |
work_keys_str_mv | AT qureshimobeenk limbsalvageversusamputationareviewofthecurrentevidence AT ghaffarali limbsalvageversusamputationareviewofthecurrentevidence AT taksameem limbsalvageversusamputationareviewofthecurrentevidence AT khaledahmad limbsalvageversusamputationareviewofthecurrentevidence |