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Amputation
Amputation is the removal of a Limb (anatomy), limb or other body part by Physical trauma, 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 cancer, malignancy or gangrene. In some cases, it is carried out on individuals as a Preventive healthcare, preventive surgery for such problems. A special case is that of congenital amputation, a congenital disorder, where fetus, fetal limbs have been cut off by constrictive bands. In some countries, judicial amputation is currently used punishment, 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 c ...
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Prosthesis
In medicine, a prosthesis (: prostheses; from ), or a prosthetic implant, is an artificial device that replaces a missing body part, which may be lost through physical trauma, disease, or a condition present at birth (Congenital, congenital disorder). Prostheses may restore the normal functions of the missing body part, or may perform a cosmetic function. A person who has undergone an amputation is sometimes referred to as an Amputation, amputee, however, this term may be offensive. Rehabilitation for someone with an amputation is primarily coordinated by a Physical medicine and rehabilitation, physiatrist as part of an inter-disciplinary team consisting of physiatrists, prosthetists, nurses, physical therapists, and occupational therapists. Prostheses can be created by hand or with computer-aided design (CAD), a software interface that helps creators design and analyze the creation with computer-generated Technical drawing, 2-D and 3D computer graphics, 3-D graphics as well as an ...
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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 ...
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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, ...
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Phantom Limb Syndrome
A phantom limb is the sensation that an amputation, amputated or missing limb (anatomy), limb is still attached. It is a chronic condition that is often resistant to treatment. When the cut ends of sensory fibres are stimulated during thigh movements, the patient feels as if the sensation is arising from the non-existent limb. Sometimes, the patient might feel pain in the non-existent limb. Approximately 80–100% of individuals with an amputation experience sensations in their amputated limb. However, only a small percentage will experience painful phantom limb sensations (phantom pain). These sensations are relatively common in amputees and usually resolve within two to three years without treatment. Research continues to explore the underlying mechanisms of phantom limb pain (PLP) and effective treatment options. Signs and symptoms Most (80–100%) amputees experience a phantom limb, with some of them having non-painful sensations. The amputee may feel very strongly that the p ...
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Replantation
Replantation or reattachment is defined as the surgical reattachment of a body part (such as a finger, hand, arm, toe, foot, or leg) that has been completely cut from the body. Examples include 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 without bioelectronics. In such cases, revision amputati ...
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Surgery
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ...
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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 affected by 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, providing them with better mobility. History Rotationplasty was first performed by Joseph 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 ...
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Surgery
Surgery is a medical specialty that uses manual and instrumental techniques to diagnose or treat pathological conditions (e.g., trauma, disease, injury, malignancy), to alter bodily functions (e.g., malabsorption created by bariatric surgery such as gastric bypass), to reconstruct or alter aesthetics and appearance (cosmetic surgery), or to remove unwanted tissue (biology), tissues (body fat, glands, scars or skin tags) or foreign bodies. The act of performing surgery may be called a surgical procedure or surgical operation, or simply "surgery" or "operation". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g. surgical instruments, operating theater, surgical facility or surgical nurse. Most surgical procedures are performed by a pair of operators: a surgeon who is the main operator performing the surgery, and a surgical assistant who provides in-procedure manual assistance during surgery. Modern surgical opera ...
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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
at Who Named It With Pierre-Joseph Desault (1744–1795), he was a ...
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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 (anatomy), limb or other body part by Physical trauma, 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 cancer, malign ... * Total body disruption References Musculoskeletal disorders Amputation {{musculoskeletal-stub ...
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Mutilation
Mutilation or maiming (from the ) is Bodily harm, severe damage to the body that has a subsequent harmful effect on an individual's quality of life. In the modern era, the term has an overwhelmingly negative connotation, referring to alterations that render something inferior, dysfunctional, imperfect, or ugly. Terminology In 2019, Michael H. Stone, Gary Brucato, and Ann Burgess proposed formal criteria by which "mutilation" might be systematically distinguished from the act of "dismemberment", as these terms are commonly used interchangeably. They suggested that dismemberment involves "the entire removal, by any means, of a large section of the body of a living or dead person, specifically, the head (also termed decapitation), arms, hands, torso, pelvic area, legs, or feet". Mutilation, by contrast, involves "the removal or irreparable disfigurement, by any means, of some smaller portion of one of those larger sections of a living or dead person. The latter would include ca ...
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Physical Medicine And Rehabilitation
Physical medicine and rehabilitation (PM&R), also known as physiatry, and outside the United States as physical and rehabilitation medicine (PRM), is a branch of medicine that aims to enhance and restore functional ability and quality of life to people with physical impairments or disabilities. Officially established in the United States in the mid-1900s, PM&R has played a major role in patient recovery following several major epidemics and both world wars. Common medical conditions treated by PM&R physicians include spinal cord injury, brain injury, musculoskeletal injury, stroke, pain, and spasticity from muscle, ligament, or nerve damage. PM&R physicians lead rehabilitation teams in inpatient and outpatient settings and are trained in medication management, electrodiagnosis, and targeted injections. A physician having completed training in this field may be referred to as a physiatrist. Scope of the field Physical medicine and rehabilitation encompasses a variety o ...
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