Document Detail


Long-term clinical outcomes of war-related hip disarticulation and transpelvic amputation.
MedLine Citation:
PMID:  23965708     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: The Iran-Iraq war (1980 to 1988) was one of the longest wars of the twentieth century. Few studies are available in the current literature evaluating the long-term results of proximal lower-extremity war-related amputations. The purpose of the present cross-sectional study was to evaluate the current health-related quality of life and clinical musculoskeletal function of Iranian veterans with hip or hemipelvic amputation.
METHODS: Seventy-six patients from a cohort of eighty-four veterans with hip disarticulation and transpelvic amputation participated in this study. A Persian version of Medical Outcomes Study Short Form-36 (SF-36) was completed for all of the veterans.
RESULTS: The average duration of follow-up was 26.6 ± 3.7 years. The average age (and standard deviation) of the veterans was 44.1 ± 7.0 years. The average scores for the physical and mental health dimensions of the SF-36 were 45.85 ± 21.56 and 57.98 ± 25.19, respectively. These data indicate that the amputees were doing better in the mental domain than in the physical domain. Forty-five patients with a primary amputation (97.8%) and ten with a secondary amputation (33.3%) complained of pain in the amputation stump.
CONCLUSIONS: Veterans with proximal lower-extremity amputation will need life-long care. Supervision starts with stump management and the application of appropriate surgical techniques at the time of the injury and continues with periodic examination throughout life.
LEVEL OF EVIDENCE: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
Authors:
Mohamad H Ebrahimzadeh; Amir Reza Kachooei; Mohamad Reza Soroush; Ebrahim Ghayem Hasankhani; Shiva Razi; Ali Birjandinejad
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  95     ISSN:  1535-1386     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  2013 Aug 
Date Detail:
Created Date:  2013-08-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e1141-6     Citation Subset:  AIM; IM    
Affiliation:
Orthopaedic and Trauma Research Center, Mashhad University of Medical Sciences, Mashhad, 91766-99199 Iran. E-mail address for M.H. Ebrahimzadeh: Ebrahimzadehmh@mums.ac.ir. E-mail address for A.R. Kachooei: kachoeear@mums.ac.ir. E-mail address for E.G. Hasankhani: hasankhanie@mums.ac.ir. E-mail address for S. Razi: Razi.shiva@gmail.com. E-mail address for A. Birjandinejad: birjandinejada@mums.ac.ir.
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