Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries

Study design: Descriptive case series study. Objective: To describe the course of five spinal cord injury (SCI) patients who underwent proximal amputation of the inferior extremity, secondary to recurrent, complicated pressure ulcers (PU) and the clinical impact this intervention had in these patien...

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Bibliographic Details
Published in:Spinal cord 2008-02, Vol.46 (2), p.135-139
Main Authors: Correa, G I, Calderón, W O, Roa, R G, Guzmán, L M, Burnier, L A, Danilla, S E
Format: Article
Language:English
Subjects:
Amputation
Anatomy
Biological and medical sciences
Biomedical and Life Sciences
Biomedicine
Cerebrospinal fluid. Meninges. Spinal cord
Chronic Disease
Hemipelvectomy
Hospitalization
Human Physiology
Humans
Injuries of the nervous system and the skull. Diseases due to physical agents
Leg - surgery
Male
Medical sciences
Nervous system (semeiology, syndromes)
Neurochemistry
Neurology
Neuropsychology
Neurosciences
original-article
Osteomyelitis - etiology
Osteomyelitis - surgery
Pressure Ulcer - complications
Spinal Cord Injuries - complications
Traumas. Diseases due to physical agents
Treatment Outcome
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Summary:Study design: Descriptive case series study. Objective: To describe the course of five spinal cord injury (SCI) patients who underwent proximal amputation of the inferior extremity, secondary to recurrent, complicated pressure ulcers (PU) and the clinical impact this intervention had in these patients. Place: Trabajador Hospital in Santiago, Chile. Method: Revision of five clinical cases of patients who underwent partial hemipelvectomy or hip disarticulation with amputation of the extremity as treatment for pelvic recurrent PU with chronic secondary osteomyelitis. The clinical impact was quantified as days of hospital stay, number of surgeries and previous and post surgery PU. Results: After the proximal amputation of the extremity, patients significantly decreased number of days of hospital stay ( P =0.035), number of surgeries ( P =0.015) and PU ( P =0.0065). Conclusion: Partial hemipelvectomy and hip disarticulation with proximal amputation of the inferior extremity are rescue procedures that can be last resource treatment for chronic recurrent pelvic PU secondary to chronic osteomyelitis. Sponsorship: Not applicable.
ISSN:1362-4393
1476-5624
DOI:10.1038/sj.sc.3102089