TY  - JOUR
T1  - Traumatic and Trauma-Related AmputationsPart I: General Principles and Lower-Extremity Amputations
AU  - Tintle, LT Scott M.
AU  - Keeling, CDR John J.
AU  - Shawen, LTC Scott B.
AU  - Forsberg, LCDR Jonathan A.
AU  - Potter, MAJ Benjamin K.
Y1  - 2010/12/01
N1  - 10.2106/JBJS.J.00257
JO  - The Journal of Bone & Joint Surgery
SP  - 2852
EP  - 2868
VL  - 92
IS  - 17
N2  - Deliberate attention to the management of soft tissue is imperative when performing an amputation. Identification and proper management of the nerves accompanied by the performance of a stable myodesis and ensuring robust soft-tissue coverage are measures that will improve patient outcomes.Limb length should be preserved when practicable; however, length preservation at the expense of creating a nonhealing or painful residual limb with poor soft-tissue coverage is contraindicated.While a large proportion of individuals with a trauma-related amputation remain severely disabled, a chronically painful residual limb is not inevitable and late revision amputations to improve soft-tissue coverage, stabilize the soft tissues (revision myodesis), or remove symptomatic neuromas can dramatically improve patient outcomes.Psychosocial issues may dramatically affect the outcomes after trauma-related amputations. A multidisciplinary team should be consulted or created to address the multiple complex physical, mental, and psychosocial issues facing patients with a recent amputation.
SN  - 0021-9355
M3  - doi: 10.2106/JBJS.J.00257
UR  - http://dx.doi.org/10.2106/JBJS.J.00257
ER  -