Burns and amputations: A 24-year experience

Peter J. Kennedy, Wayne M. Young, Anand K. Deva, Peter A. Haertsch

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Although the management of the severely burnt extremity poses a significant therapeutic dilemma, burn injuries resulting in amputation are uncommon, In such cases, however, amputation can reduce the rate of mortality. In a total of 1858 patients from January 1980 to January 2004, there were 34 amputations in 27 patients. There were 23 men (age range, 14-64 years) and 4 women (age range, 34-85 years). The majority of amputations from burns caused by flame injury predominantly after motor vehicle accidents, with only eight cases resulting from high-voltage electrical injury. Nine patients required immediate amputations, with the rest being delayed. There were three deaths, with a survival rate of 89%. The majority of single lower-limb amputees and only one of seven bilateral amputees were independently mobile. The presence of pre-existing psychiatric disease significantly impaired rehabilitation. Free tissue transfer and the usage of bioengineered materials may help reduce the incidence of amputations.

LanguageEnglish
Pages183-188
Number of pages6
JournalJournal of Burn Care and Research
Volume27
Issue number2
Publication statusPublished - Mar 2006
Externally publishedYes

Fingerprint

Burns
Amputation
Amputees
Wounds and Injuries
Preexisting Condition Coverage
Motor Vehicles
Accidents
Psychiatry
Lower Extremity
Rehabilitation
Survival Rate
Extremities
Mortality
Incidence

Cite this

Kennedy, P. J., Young, W. M., Deva, A. K., & Haertsch, P. A. (2006). Burns and amputations: A 24-year experience. Journal of Burn Care and Research, 27(2), 183-188.
Kennedy, Peter J. ; Young, Wayne M. ; Deva, Anand K. ; Haertsch, Peter A. / Burns and amputations : A 24-year experience. In: Journal of Burn Care and Research. 2006 ; Vol. 27, No. 2. pp. 183-188.
@article{9c3c6e64c332476abdf4b04ba80cba7d,
title = "Burns and amputations: A 24-year experience",
abstract = "Although the management of the severely burnt extremity poses a significant therapeutic dilemma, burn injuries resulting in amputation are uncommon, In such cases, however, amputation can reduce the rate of mortality. In a total of 1858 patients from January 1980 to January 2004, there were 34 amputations in 27 patients. There were 23 men (age range, 14-64 years) and 4 women (age range, 34-85 years). The majority of amputations from burns caused by flame injury predominantly after motor vehicle accidents, with only eight cases resulting from high-voltage electrical injury. Nine patients required immediate amputations, with the rest being delayed. There were three deaths, with a survival rate of 89{\%}. The majority of single lower-limb amputees and only one of seven bilateral amputees were independently mobile. The presence of pre-existing psychiatric disease significantly impaired rehabilitation. Free tissue transfer and the usage of bioengineered materials may help reduce the incidence of amputations.",
author = "Kennedy, {Peter J.} and Young, {Wayne M.} and Deva, {Anand K.} and Haertsch, {Peter A.}",
year = "2006",
month = "3",
language = "English",
volume = "27",
pages = "183--188",
journal = "Journal of Burn Care and Research",
issn = "1559-047X",
publisher = "Lippincott Williams and Wilkins",
number = "2",

}

Kennedy, PJ, Young, WM, Deva, AK & Haertsch, PA 2006, 'Burns and amputations: A 24-year experience' Journal of Burn Care and Research, vol. 27, no. 2, pp. 183-188.

Burns and amputations : A 24-year experience. / Kennedy, Peter J.; Young, Wayne M.; Deva, Anand K.; Haertsch, Peter A.

In: Journal of Burn Care and Research, Vol. 27, No. 2, 03.2006, p. 183-188.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Burns and amputations

T2 - Journal of Burn Care and Research

AU - Kennedy,Peter J.

AU - Young,Wayne M.

AU - Deva,Anand K.

AU - Haertsch,Peter A.

PY - 2006/3

Y1 - 2006/3

N2 - Although the management of the severely burnt extremity poses a significant therapeutic dilemma, burn injuries resulting in amputation are uncommon, In such cases, however, amputation can reduce the rate of mortality. In a total of 1858 patients from January 1980 to January 2004, there were 34 amputations in 27 patients. There were 23 men (age range, 14-64 years) and 4 women (age range, 34-85 years). The majority of amputations from burns caused by flame injury predominantly after motor vehicle accidents, with only eight cases resulting from high-voltage electrical injury. Nine patients required immediate amputations, with the rest being delayed. There were three deaths, with a survival rate of 89%. The majority of single lower-limb amputees and only one of seven bilateral amputees were independently mobile. The presence of pre-existing psychiatric disease significantly impaired rehabilitation. Free tissue transfer and the usage of bioengineered materials may help reduce the incidence of amputations.

AB - Although the management of the severely burnt extremity poses a significant therapeutic dilemma, burn injuries resulting in amputation are uncommon, In such cases, however, amputation can reduce the rate of mortality. In a total of 1858 patients from January 1980 to January 2004, there were 34 amputations in 27 patients. There were 23 men (age range, 14-64 years) and 4 women (age range, 34-85 years). The majority of amputations from burns caused by flame injury predominantly after motor vehicle accidents, with only eight cases resulting from high-voltage electrical injury. Nine patients required immediate amputations, with the rest being delayed. There were three deaths, with a survival rate of 89%. The majority of single lower-limb amputees and only one of seven bilateral amputees were independently mobile. The presence of pre-existing psychiatric disease significantly impaired rehabilitation. Free tissue transfer and the usage of bioengineered materials may help reduce the incidence of amputations.

UR - http://www.scopus.com/inward/record.url?scp=33745421380&partnerID=8YFLogxK

M3 - Article

VL - 27

SP - 183

EP - 188

JO - Journal of Burn Care and Research

JF - Journal of Burn Care and Research

SN - 1559-047X

IS - 2

ER -

Kennedy PJ, Young WM, Deva AK, Haertsch PA. Burns and amputations: A 24-year experience. Journal of Burn Care and Research. 2006 Mar;27(2):183-188.