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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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Published in: | Spinal cord 2008-02, Vol.46 (2), p.135-139 |
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container_title | Spinal cord |
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creator | Correa, G I Calderón, W O Roa, R G Guzmán, L M Burnier, L A Danilla, S E |
description | 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. |
doi_str_mv | 10.1038/sj.sc.3102089 |
format | article |
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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.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3102089</identifier><identifier>PMID: 17607312</identifier><identifier>CODEN: SPCOFM</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>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</subject><ispartof>Spinal cord, 2008-02, Vol.46 (2), p.135-139</ispartof><rights>Springer Nature Limited 2008</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Feb 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c480t-11c4587d69c8192416dea07baff49b5091950e34debbd5ad282e0ccdbd3598373</citedby><cites>FETCH-LOGICAL-c480t-11c4587d69c8192416dea07baff49b5091950e34debbd5ad282e0ccdbd3598373</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20057627$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17607312$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Correa, G I</creatorcontrib><creatorcontrib>Calderón, W O</creatorcontrib><creatorcontrib>Roa, R G</creatorcontrib><creatorcontrib>Guzmán, L M</creatorcontrib><creatorcontrib>Burnier, L A</creatorcontrib><creatorcontrib>Danilla, S E</creatorcontrib><title>Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries</title><title>Spinal cord</title><addtitle>Spinal Cord</addtitle><addtitle>Spinal Cord</addtitle><description>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.</description><subject>Amputation</subject><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Chronic Disease</subject><subject>Hemipelvectomy</subject><subject>Hospitalization</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>Leg - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Osteomyelitis - etiology</subject><subject>Osteomyelitis - surgery</subject><subject>Pressure Ulcer - complications</subject><subject>Spinal Cord Injuries - complications</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNp9kc2L1TAUxYsozvh06VIJgrrqM1_9yHIYHBUGdKHrkqa3mtI29d50nPffm8erMyDoKoHzuyc592TZc8H3gqv6HQ17cnsluOS1eZCdC12VeVFK_TDdVSlzrYw6y54QDZxzI0z9ODsTVckrJeR5dvMFw62f7MjstKzRRh9mFnrm5x7QB2RwGxEmHw-MwIW5s3hgMTAEtyLCHNmCQLQisHV0gJQm2ZJskkTsl48_GC1-Tv4uYJfEYUUP9DR71NuR4Nl27rJvV--_Xn7Mrz9_-HR5cZ07XfOYC-F0UVddaVwtjNSi7MDyqrV9r01bHOMUHJTuoG27wnaylsCd69pOFaZWldplb0--C4afK1BsJk8OxtHOEFZqDNe6lCZtcpe9-S9ZcVlzrmUCX_0FDmHFlJAaKY0qVWWObvkJchiIEPpmwbRlPDSCN8feGhoacs3WW-JfbqZrO0F3T29FJeD1BlhyduzRzs7THSc5L6pSHgPvTxwlaf4OeP-7f7384jQw25havHP8o_8GtaO8DQ</recordid><startdate>20080201</startdate><enddate>20080201</enddate><creator>Correa, G I</creator><creator>Calderón, W O</creator><creator>Roa, R G</creator><creator>Guzmán, L M</creator><creator>Burnier, L A</creator><creator>Danilla, S E</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7RV</scope><scope>7T7</scope><scope>7TK</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20080201</creationdate><title>Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries</title><author>Correa, G I ; Calderón, W O ; Roa, R G ; Guzmán, L M ; Burnier, L A ; Danilla, S E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c480t-11c4587d69c8192416dea07baff49b5091950e34debbd5ad282e0ccdbd3598373</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Amputation</topic><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Chronic Disease</topic><topic>Hemipelvectomy</topic><topic>Hospitalization</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>Leg - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Osteomyelitis - etiology</topic><topic>Osteomyelitis - surgery</topic><topic>Pressure Ulcer - complications</topic><topic>Spinal Cord Injuries - complications</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Correa, G I</creatorcontrib><creatorcontrib>Calderón, W O</creatorcontrib><creatorcontrib>Roa, R G</creatorcontrib><creatorcontrib>Guzmán, L M</creatorcontrib><creatorcontrib>Burnier, L A</creatorcontrib><creatorcontrib>Danilla, S E</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>ProQuest Nursing and Allied Health Source</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Correa, G I</au><au>Calderón, W O</au><au>Roa, R G</au><au>Guzmán, L M</au><au>Burnier, L A</au><au>Danilla, S E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>2008-02-01</date><risdate>2008</risdate><volume>46</volume><issue>2</issue><spage>135</spage><epage>139</epage><pages>135-139</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><coden>SPCOFM</coden><abstract>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.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>17607312</pmid><doi>10.1038/sj.sc.3102089</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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language | eng |
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source | SPORTDiscus with Full Text |
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 |
title | Proximal amputation of inferior extremity secondary to recurrent pressure ulcers in patients with spinal cord injuries |
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