Clinical outcome of staged surgery after primary amputation for mangled extremity
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Yoon, Yong-Cheol | - |
dc.contributor.author | Oh, Chang-Wug | - |
dc.contributor.author | Jang, Myung Jin | - |
dc.contributor.author | Kim, Han Soul | - |
dc.contributor.author | Oh, Jong-Keon | - |
dc.date.available | 2021-03-03T05:40:23Z | - |
dc.date.created | 2020-06-15 | - |
dc.date.issued | 2021-03 | - |
dc.identifier.issn | 0936-8051 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/80253 | - |
dc.description.abstract | Introduction: Amputation for a mangled extremity is an effective and reliable life-saving treatment method, which requires a relatively shorter duration for treatment than limb salvage. However, only a few studies have focused on treatment with amputation. Herein, we report good clinical outcomes achieved through staged surgery performed after amputation. Materials and methods: This study included 47 patients (38 men, 9 women; average age, 52.4 years) diagnosed with mangled extremity, who underwent primary amputation between March 2014 and January 2019. The patients were divided into the initial closure (IC) groups (including 26 patients who underwent IC after amputation) and staged surgery (SS) (including 21 patients who underwent SS after amputation) groups. The presence of complications including necrosis and infection, consequent additional surgery, duration of hospitalization and expense for treatment, and functional scores of upper and lower extremities were assessed. Results: No specific postoperative complication was found in the SS group. However, additional surgeries were performed in the IC group because of complications including three cases of infection and two cases of necrosis. The differences between the hospitalization period, treatment cost, and functional examination conducted 1 year after surgery of the two groups were not statistically significant. The patients in the IC group who underwent additional surgery were hospitalized for a longer period and presented with lower functional scores due to delayed rehabilitation. Conclusion: Staged surgery is a definitive and safe treatment option that can effectively reduce complications including infection and necrosis in patients with mangled extremity. © 2020, Springer-Verlag GmbH Germany, part of Springer Nature. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | Springer | - |
dc.relation.isPartOf | Archives of Orthopaedic and Trauma Surgery | - |
dc.title | Clinical outcome of staged surgery after primary amputation for mangled extremity | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 1 | - |
dc.identifier.wosid | 000538360200002 | - |
dc.identifier.doi | 10.1007/s00402-020-03497-1 | - |
dc.identifier.bibliographicCitation | Archives of Orthopaedic and Trauma Surgery, v.141, no.3, pp.411 - 417 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.scopusid | 2-s2.0-85086106190 | - |
dc.citation.endPage | 417 | - |
dc.citation.startPage | 411 | - |
dc.citation.title | Archives of Orthopaedic and Trauma Surgery | - |
dc.citation.volume | 141 | - |
dc.citation.number | 3 | - |
dc.contributor.affiliatedAuthor | Yoon, Yong-Cheol | - |
dc.contributor.affiliatedAuthor | Kim, Han Soul | - |
dc.type.docType | Article | - |
dc.subject.keywordAuthor | Amputation | - |
dc.subject.keywordAuthor | Complication | - |
dc.subject.keywordAuthor | Mangled extremity | - |
dc.subject.keywordAuthor | Staged surgery | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.
1342, Seongnam-daero, Sujeong-gu, Seongnam-si, Gyeonggi-do, Republic of Korea(13120)031-750-5114
COPYRIGHT 2020 Gachon University All Rights Reserved.
Certain data included herein are derived from the © Web of Science of Clarivate Analytics. All rights reserved.
You may not copy or re-distribute this material in whole or in part without the prior written consent of Clarivate Analytics.