Amputation
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Amputation
Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, amputation is currently used to punish people who commit crimes. Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment. When done by a person, the person executing the amputation is an amputator. The oldest evidence of this practice comes from a skeleton found buried in Liang Tebo cave, East Kalimantan, Indonesian Borneo dating back to at least 31,000 years ago, where it was done when ...
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Amputations 18c
Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on individuals as a preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetal limbs have been cut off by constrictive bands. In some countries, amputation is currently used to punish people who commit crimes. Amputation has also been used as a tactic in war and acts of terrorism; it may also occur as a war injury. In some cultures and religions, minor amputations or mutilations are considered a ritual accomplishment. When done by a person, the person executing the amputation is an amputator. The oldest evidence of this practice comes from a skeleton found buried in Liang Tebo cave, East Kalimantan, Indonesian Borneo dating back to at least 31,000 years ago, where it was done when th ...
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Gangrene
Gangrene is a type of tissue death caused by a lack of blood supply. Symptoms may include a change in skin color to red or black, numbness, swelling, pain, skin breakdown, and coolness. The feet and hands are most commonly affected. If the gangrene is caused by an infectious agent, it may present with a fever or sepsis. Risk factors include diabetes, peripheral arterial disease, smoking, major trauma, alcoholism, HIV/AIDS, frostbite, influenza, dengue fever, malaria, chickenpox, plague, hypernatremia, radiation injuries, meningococcal disease, Group B streptococcal infection and Raynaud's syndrome. It can be classified as dry gangrene, wet gangrene, gas gangrene, internal gangrene, and necrotizing fasciitis. The diagnosis of gangrene is based on symptoms and supported by tests such as medical imaging. Treatment may involve surgery to remove the dead tissue, antibiotics to treat any infection, and efforts to address the underlying cause. Surgical efforts may include debr ...
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Congenital Amputation
Congenital amputation is birth without a limb or limbs, or without a part of a limb or limbs. It is known to be caused by blood clots forming in the fetus while ''in utero'' (vascular insult) and from amniotic band syndrome: fibrous bands of the amnion that constrict fetal limbs to such an extent that they fail to form or actually fall off due to missing blood supply. Congenital amputation can also occur due to maternal exposure to teratogens during pregnancy. Causes The exact cause of congenital amputation is unknown and can result from a number of causes. However, most cases show that the first three months in a pregnancy are when most birth defects occur because that is when the organs of the fetus are beginning to form. One common cause is amniotic band syndrome, which occurs when the inner fetal membrane (amnion) ruptures without injury to the outer membrane (chorion). Fibrous bands from the ruptured amnion float in the amniotic fluid and can get entangled with the fetus, t ...
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Replantation
Replantation or reattachment has been defined by the American Academy of Orthopaedic Surgeons as "the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body". Examples would be reattachment of a partially or fully amputated finger, or reattachment of a kidney that had had an avulsion-type injury. Replantation of amputated parts has been performed on fingers, hands, forearms, arms, toes, feet, legs, ears, scalp, face, lips, penis and a tongue. It can be performed on almost any body part of children. Medical uses Replantation is performed in response to traumatic amputation. Sharp, guillotine-type injuries with relatively uninjured surrounding tissue have the best post-replantation prognosis, with a success rate of 77%. Severe crush injuries, multi-level injuries, and avulsion injuries often mangle soft tissue to the point of precluding rejoining of essential blood vessels, making replantation impossible. In such cases, r ...
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Forequarter Amputation
Forequarter amputation is amputation of the arm, scapula and clavicle. It is usually performed as a last resort to remove a cancer, but decreasingly so as limb-sparing operations improve. Surgical technique The rhomboid muscles, trapezius, levator scapulae and latissimus dorsi are transected. The neurovascular bundle consisting of the axillary artery, axillary vein and brachial plexus is ligated and cut. The area of the chest left exposed is then normally covered with a split-thickness skin graft. Society In 2008, David Nott, a British vascular surgeon in the Democratic Republic of the Congo with Médecins Sans Frontières, performed a forequarter amputation to save the life of a 16-year-old boy, whose arm had been severed by an injury. He was left with a gangrenous stump and had a few days to live. "The first thing I realised when I saw J was that he was dying. All that remained of this 16-year-old's arm was six inches of skin; the rest had been shot off when he became ca ...
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Krukenberg Procedure
The Krukenberg procedure, also known as the Krukenberg operation, is a surgical technique that converts a forearm stump into a pincer. It was first described in 1917 by the German army surgeon Hermann Krukenberg. It remains in use today for certain special cases but is considered controversial and some surgeons refuse to perform it.Freire J, Schiappacasse C, Heredia A, Martina JD, Geertzen JH. (2005)Functional results after a Krukenberg amputation Prosthet Orthot Int. 29(1):87-92. Procedure The procedure involves separating the ulna and radius for below-elbow amputations, and in cases of congenital absence of the hand, to provide a pincerlike grasp that is motored by the pronator teres muscle. The prerequisites for the operation are a stump over 10 cm long from the tip of the olecranon, no elbow contracture, and good psychological preparation and acceptance. Garst, R.J. (1991)The Krukenberg Hand''The Journal of Bone and Joint Surgery'' 385(3) The success of the Krukenber ...
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Rhinotomy
Rhinotomy is mutilation, usually amputation, of the nose. It was a means of judicial punishment throughout the world, particularly for sexual transgressions, but in the case of adultery often applied only to women. Ancient usage The Code of Hammurabi contains references to amputation of bodily protrusions (such as lips, nose, breasts, etc.), as do the laws of ancient Egypt, and in Hindu medicine the writings of Charaka and the Sushruta Samhita. Rhinotomy as a punishment for adultery was customary in early India, and practised by the Greeks and Romans Roman or Romans most often refers to: *Rome, the capital city of Italy * Ancient Rome, Roman civilization from 8th century BC to 5th century AD *Roman people, the people of ancient Rome *''Epistle to the Romans'', shortened to ''Romans'', a lette ..., but only rarely; the practice was more prevalent in Byzantine Empire, Byzantium and among the Arabs, where the unfaithful woman was subjected to it while the man could get away with ...
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Van Nes Rotation
Rotationplasty, commonly known as a Van Nes rotation or Borggreve rotation, is a type of autograft wherein a portion of a limb is removed, while the remaining limb below the involved portion is rotated and reattached. This procedure is used when a portion of an extremity is injured or involved with a disease, such as cancer. The procedure is most commonly used to transfer the ankle joint to the knee joint following removal of a distal femoral bone tumor, such as osteosarcoma. The limb is rotated because the ankle flexes in the opposite direction compared to the knee. The benefit to the patient is that they have a functioning knee joint to which a prosthetic can be fitted, so that they can run and jump. History Rotationplasty was first performed by Borggreve in 1927. He performed the procedure on a 12-year-old boy who suffered from tuberculosis. However, the procedure was not well known until 1950, when Dutch orthopedist Cornelis Pieter van Nes (1897–1972) reported the results ...
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François Chopart
François Chopart (20 October 1743 – 9 June 1795) was a French surgeon born in Paris. He was trained in medicine at the Hôtel-Dieu, Pitié and the Bicêtre hospitals. In 1771 he became a professor of practical surgery at the '' École pratique'' in Paris, and in 1782 succeeded Toussaint Bordenave (1728–1782) as chair of physiology. Chopart was a pioneer of urological surgery, putting emphasis on dealing with the urinary tract as a whole. In 1791/92 he published the two-volume ''Traité des maladies des voies urinaires''.François Chopart - bibliography
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Surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an anaesthetist, a circulating nurse and a surgical technologist. Surgery usually spa ...
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Surgery
Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pathological condition such as a disease or injury, to help improve bodily function, appearance, or to repair unwanted ruptured areas. The act of performing surgery may be called a surgical procedure, operation, or simply "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments or surgical nurse. The person or subject on which the surgery is performed can be a person or an animal. A surgeon is a person who practices surgery and a surgeon's assistant is a person who practices surgical assistance. A surgical team is made up of the surgeon, the surgeon's assistant, an anaesthetist, a circulating nurse and a surgical technologist. Surgery usually spa ...
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Disarticulation
In medical terminology, disarticulation is the separation of two bones at their joint, either traumatically by way of injury or by a surgeon during arthroplasty or amputation. See also * Joint dislocation * Acrotomophilia * Apotemnophilia * Amputation Amputation is the removal of a limb by trauma, medical illness, or surgery. As a surgical measure, it is used to control pain or a disease process in the affected limb, such as malignancy or gangrene. In some cases, it is carried out on indi ... References Musculoskeletal disorders Amputations {{musculoskeletal-stub ...
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