Details

Autor(en) / Beteiligte

• Bosse, Michael J
• MacKenzie, Ellen J
• Kellam, James F
• Burgess, Andrew R
• Webb, Lawrence X
• Swiontkowski, Marc F
• Sanders, Roy W
• Jones, Alan L
• McAndrew, Mark P
• Patterson, Brendan M
• McCarthy, Melissa L
• Travison, Thomas G
• Castillo, Renan C

Titel

An Analysis of Outcomes of Reconstruction or Amputation after Leg-Threatening Injuries

Ist Teil von

• The New England journal of medicine, 2002-12, Vol.347 (24), p.1924-1931

Ort / Verlag

United States: Massachusetts Medical Society

Erscheinungsjahr

2002

Link zum Volltext

Quelle

EZB-FREE-00999 freely available EZB journals

Beschreibungen/Notizen

• This observational study compared two-year outcomes of patients with severe leg injuries who underwent reconstruction or amputation. The health status (as measured by a multidimensional instrument) of patients who had undergone reconstruction was similar to that of patients who had undergone amputation. Medical and surgical advances of the past two decades have improved the ability to reconstruct severely injured legs. 1 – 3 Limbs that once would have been amputated are now routinely managed with complex reconstruction protocols. 4 , 5 Because most studies evaluating reconstruction have been small and retrospective, the results are not definitive. 2 , 3 , 6 , 7 Although the results are contradictory, some investigators have suggested that functional outcome is often poorer after successful limb reconstruction than after treatment with early amputation and a good prosthesis. 4 , 6 – 9 We performed a prospective observational study comparing functional outcomes of a large cohort of patients from . . .