open access

Vol 24, No 1-2 (2022)
Case report
Published online: 2023-01-19
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Lower limb amputation in patients with intramedullary implants.

Joanna Pietras1, Ilona Savochka1, Andrzej Modrzejewski2, Mirosław Parafiniuk1
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Chirurgia Polska 2022;24(1-2):26-30.
Affiliations
  1. Katedra Medycyny Sądowej Pomorskiego Uniwersytetu Medycznego, Szczecin, Poland
  2. Oddział Kliniczny Chirurgii Ogólnej Pomorskiego Uniwersytetu Medycznego, Szczecin

open access

Vol 24, No 1-2 (2022)
Case reports
Published online: 2023-01-19

Abstract

In their daily work, surgeons often face a situation in which there is a need to save the patient's life. In difficult times, when decisions must be made very quickly, doctors may encounter difficulties related to the lack of time to collect a detailed medical history or carefully examine the patient. This situation can lead to unexpected events in the operating room. This article describes four patients who were referred for lower limb amputation due to critical ischemia. During the procedures, intramedullary implants and surgical plate in the femur were discovered. This resulted in serious difficulties with the proper conduct of the operation. The aim of this article is to draw attention to the importance of conducting a medical interview, if possible, and to the necessity to thoroughly examine not only the operated area before the procedure. The authors would also like to mention the need to commission radiological examinations before the amputation of the lower limb, in a situation where collecting an interview from the patient or its thorough examination is in any way difficult.

Abstract

In their daily work, surgeons often face a situation in which there is a need to save the patient's life. In difficult times, when decisions must be made very quickly, doctors may encounter difficulties related to the lack of time to collect a detailed medical history or carefully examine the patient. This situation can lead to unexpected events in the operating room. This article describes four patients who were referred for lower limb amputation due to critical ischemia. During the procedures, intramedullary implants and surgical plate in the femur were discovered. This resulted in serious difficulties with the proper conduct of the operation. The aim of this article is to draw attention to the importance of conducting a medical interview, if possible, and to the necessity to thoroughly examine not only the operated area before the procedure. The authors would also like to mention the need to commission radiological examinations before the amputation of the lower limb, in a situation where collecting an interview from the patient or its thorough examination is in any way difficult.
Get Citation

Keywords

amputation; stem implant; intramedullary nail; complications

About this article
Title

Lower limb amputation in patients with intramedullary implants.

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 24, No 1-2 (2022)

Article type

Case report

Pages

26-30

Published online

2023-01-19

Page views

561

Article views/downloads

348

DOI

10.5603/ChP.2022.0001

Bibliographic record

Chirurgia Polska 2022;24(1-2):26-30.

Keywords

amputation
stem implant
intramedullary nail
complications

Authors

Joanna Pietras
Ilona Savochka
Andrzej Modrzejewski
Mirosław Parafiniuk

References (10)
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  2. Zestawienie zawiera dane świadczeń związanych z amputacjami kończyn (liczba pacjentów oraz kwota refundacji w latach 2014-2018 w podziale na województwo i typ amputacji).; https://ezdrowie.gov.pl/portal/home/zdrowe- dane/zestawienia/informacje-o-liczbie-amputacji-konczyn.
  3. Coulston JE, Tuff V, Twine CP, et al. Surgical factors in the prevention of infection following major lower limb amputation. Eur J Vasc Endovasc Surg. 2012; 43(5): 556–560.
  4. Rogowski M, Pluta P, Kowalczyk A, et al. : Risk factors for impaired wound healing and prolonged hospitalization in patients after amputation of the lower limb above the knee joint; Pol Przegl Chir. 2019; 91(5): 27–33.
  5. Serwis Ministerstwa Zdrowia i Narodowego Funduszu Zdrowia; https://pacjent.gov.pl/artykul/cukrzyca-w-liczbach (dostęp 7.01.2022).
  6. Dillingham TR, Pezzin LE, MacKenzie EJ. Limb amputation and limb deficiency: epidemiology and recent trends in the United States. South Med J. 2002; 95(8): 875–883.
  7. Calle-Pascual AL, Redondo MJ, Ballesteros M, et al. Nontraumatic lower extremity amputations in diabetic and non-diabetic subjects in Madrid, Spain. Diabetes Metab. 1997; 23(6): 519–523.
  8. Ebskov B, Ebskov L. Major lower limb amputation in diabetic patients: development during 1982 to 1993. Diabetologia. 1996; 39(12): 1607–1610.
  9. Tentolouris N, Al-Sabbagh S, Walker MG, et al. Mortality in diabetic and nondiabetic patients after amputations performed from 1990 to 1995: a 5-year follow-up study. Diabetes Care. 2004; 27(7): 1598–1604.
  10. Katarzyna Lisowska; “Musimy zredukować ryzyko amputacji”; Rynek Zdrowia, 10.05.2016; https://www.rynekzdrowia.pl/Rynek-Zdrowia/Musimy-zredukowac-ryzyko-amputacji, 161721. html; dostęp 21. ; 01: 2022.

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