Complex limb salvage or early amputation for severe lower-limb injury: A meta-analysis of observational studies

Journal of Orthopaedic Trauma

Volumn 21, Issue 1, 2007, Pages 70-76

  Busse, Jason W ^a,e   Jacobs, Craig L ^b   Swiontkowski, Marc F ^c   Bosse, Michael J ^d   Bhandari, Mohit ^a  

^a MCMASTER UNIVERSITY   (Canada)

^b CANADIAN MEMORIAL CHIROPRACTIC COLLEGE   (Canada)

^c UNIVERSITY OF WASHINGTON   (United States)

^d CAROLINAS MEDICAL CENTER   (United States)

^e HAMILTON GENERAL HOSPITAL   (Canada)

Author keywords

Amputation; Leg injuries; Limb salvage

Indexed keywords

ARTICLE; COMPARATIVE STUDY; CONTROLLED STUDY; COST BENEFIT ANALYSIS; DATA BASE; FEMALE; FUNCTIONAL STATUS; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; LEG AMPUTATION; LENGTH OF STAY; LIMB INJURY; LIMB SALVAGE; MAJOR CLINICAL STUDY; OUTCOME ASSESSMENT; PAIN; PRIORITY JOURNAL; QUALITY OF LIFE; SELF REPORT; SOCIAL PSYCHOLOGY; TREATMENT FAILURE;

AMPUTATION; CLINICAL TRIALS; EMPLOYMENT; HOSPITALIZATION; HUMANS; INCIDENCE; LEG INJURIES; LIMB SALVAGE; OUTCOME ASSESSMENT (HEALTH CARE); PAIN; PROGNOSIS; RECOVERY OF FUNCTION; REOPERATION; RISK ASSESSMENT; RISK FACTORS; TREATMENT OUTCOME;

EID: 33846103866     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/BOT.0b013e31802cbc43     Document Type: Article

References (27)

1. Hansen ST Jr. The type-IIIC tibial fracture: salvage or amputation. J Bone Joint Surg Am. 1987;69:799-800.
2. Cannada LK, Cooper C. The mangled extremity: limb salvage versus amputation. Curr Surg. 2005;62:563-576.
3. Dagum AB, Best AK, Schemitsch EH, et al. Salvage after severe lower-extremity trauma: are the outcomes worth the means? Plast Reconstr Surg. 1999;103:1212-1220.
4. Fairhurst MJ. The function of below-knee amputee versus the patient with salvaged grade III tibial fracture. Clin Orthop. 1994;301:227-232.
5. Georgiadis GM, Behrens FF, Joyce MJ, et al. Open tibial fractures with severe soft-tissue loss: limb salvage compared with below-the-knee amputation. J Bone Joint Surg Am. 1993;75:1431-1441.
6. Higgins JPT, Thompson SG. Quantifying heterogeneity in a meta-analysis. Stat Med. 2002;21:1539-1558.
7. Higgins JPT, Thompson SG, Deeks JJ, et al. Measuring inconsistency in meta-analyses. BMJ. 2003;327:557-560.
8. Seekamp A, Regel G, Ruffert S, et al. Amputation or reconstruction of IIIB and IIIC open tibial fracture: decision criteria in the acute phase and late functional outcome [German]. Unfallchirurg. 1998;101:360-369.
9. Ramseier EW, Strebel N. Reconstruction or amputation in complex fractures of the tibia: a comparative study with special reference to insurance medicine aspects [German]. Swiss Surg. 1995;2:103-106.
10. Ebskov LB. Salvage of extremities or amputation in severe traumas [Danish]. Ugeskr Laeger. 1994;156:3625-3631.
11. Knopp W, Kugler J, Reckert P, et al. The determinants of the quality of life after a type-III open tibial fracture: the results of a multicenter study [German]. Chirurg. 1997;68:1156-1161.
12. Ozal E, Us MH, Bingol H, et al. Therapeutic approach in vascular injuries of the lower extremity: amputation or limb salvage [Turkish]. Ulus Travma Derg. 2001;7:181-184.
13. Herve C, Andrivet P, Gaillard M, et al. Treatment of severe injuries of the lower limbs: identification of clinical criteria of severity [French]. Presse Med. 1986;15:1719-1722.
14. Diefenbeck M, Muckley T, Hofmann GO. Amputation versus reconstruction in III band III C open tibial fractures [German]. Aktuelle Traumatologie. 2004;34:182-188.
15. Herve C, Andrivet P, Gaillard M. Sever lower limbs' trauma: a comparative study according to different primary surgical attitudes [French]. Convergences Med. 1984;3:419-422.
16. Herve C, Andrivet P, Gaillard M. Treatment of severe injuries of the lower limbs: identification of severity criteria [French]. Presse Med.1986;15:1719-1722.
17. Rosenberg GA, Patterson BM. Limb salvage versus amputation for severe open fractures of the tibia. Orthopedics. 1998;21:343-349.
18. Dinakar B, Khan T, Kumar A. Open fractures of the tibia: experience in a district hospital. Emirates Med J. 2005;23:251-255.
19. Hiatt MD, Farmer JM, Teasdall RD. The decision to salvage or amputate a severely injured limb. J South Orthop Assoc. 2000;9:72-78.
20. Fujita M, Yokoyama K, Tsukamoto T, et al. Type III open tibial fractures in children. Eur J Orthop Surg Traumatol. 2001;11:169-175.
21. Katzman SS, Dickson K. Determining the prognosis for limb salvage in major vascular injuries with associated open tibial fractures. Orthop Rev. 1992;21:195-199.
22. Bosse MJ, MacKenzie EJ, Kellam JF, et al. An analysis of outcomes of reconstruction or amputation of leg-threatening injuries. N Engl J Med. 2002;347:1924-1931.
23. Dahl B, Andersson AP, Andersen M, et al. Functional and social long-term results after free tissue transfer to the lower extremity. Ann Plast Surg. 1995;34:372-375.
24. Hertel R, Strebel N, Ganz R. Amputation versus reconstruction in traumatic defects of the leg: outcome and costs. J Orthop Trauma. 1996;10:223-229.
25. Hutchins PM. The outcome of severe tibial injury. Injury. 1981;13:216-219.
26. Lange RH, Bach AW, Hansen ST Jr, et al. Open tibial fractures with associated vascular injuries: prognosis for limb salvage. J Trauma. 1985;25:203-208.
27. MacKenzie EJ, Bosse MJ, Pollak AN, et al. Long-term persistence of disability following severe lower-limb trauma: results of a seven-year follow-up. J Bone Joint Surg Am. 2005;87:1801-1809.