Analysis of 19 439 lower limb amputations in children in Brazilian health system over 14 years
Injury Prevention,
Год журнала:
2025,
Номер
unknown, С. ip - 045472
Опубликована: Янв. 7, 2025
Background
Amputations
in
children
represent
significant
events.
Few
studies
analyse
amputations
this
specific
population,
and
most
of
them
are
old,
regionalised
with
small
sample
sizes.
Besides,
there
no
large
low-income
middle-income
countries.
This
study
aims
to
a
(19
439
procedures
performed
the
Brazilian
public
health
system)
aged
0–14
over
14
years.
Methods
Retrospective
cross-sectional
population-based
analysis
all
lower
limb
system
between
2008
2021
up
14.
Using
database,
types
were
selected,
defining
number
procedures,
their
main
aetiologies,
trends
years,
patient
demographics
regional
distribution.
Results
19
2021,
mainly
at
toe
level
(85%).
occurred
predominantly
males
(64%)
0–4
(47%).
The
global
trend
is
non-significant
decrease
total
period
(p=0.427),
but
we
observe
(p<0.001)
older
(aged
10–14).
more
concentrated
populated
regions,
while
highest
mortality
found
least
densely
areas.
Trauma
aetiology
associated
(60%).
Conclusion
epidemiology
Brazil
differs
from
rest
world.
aetiology.
Язык: Английский
Neurophysiological Markers of Adaptation and Compensation Following Lower Limb Amputation: An Analysis of EEG Oscillations and Clinical Predictors from the DEFINE Cohort Study
Neurology International,
Год журнала:
2025,
Номер
17(2), С. 21 - 21
Опубликована: Янв. 28, 2025
Background:
Neuroplasticity,
involving
cortical
and
subcortical
reorganization,
plays
a
critical
role
in
the
adaptation
compensation
process
post-amputation.
However,
underlying
neurophysiological
changes
remain
unclear,
particularly
brain
oscillations.
Methods:
This
is
cross-sectional
analysis
that
includes
baseline
data
from
48
individuals
with
lower
limb
amputation
our
DEFINE
Cohort
Study
project.
EEG
were
collected
using
64-channel
system
during
5-min
resting-state
period.
Preprocessed
analyzed
for
delta
alpha
oscillations
across
frontal,
central,
parietal
regions.
Logistic
regression
models
examined
associations
between
clinical
variables,
including
cognition
(MoCA),
functional
independence
(FIM),
phantom
sensations
(PLS).
Results:
The
multivariate
logistic
revealed
distinct
patterns
of
association
variables.
Delta
inversely
associated
cognitive
scores
(OR:
0.69;
p
=
0.048),
while
higher
power
was
related
to
absence
PLS
58.55;
<
0.01).
Frontal
positively
linked
function
1.55;
0.02)
but
negatively
0.75;
0.04).
Conclusions:
These
findings
suggest
frequencies,
such
as
oscillations,
play
potential
compensatory
rhythms.
In
contrast,
may
reflect
more
adapted
pattern
reorganization
after
amputation.
Язык: Английский
Fibula Graft under Compression for the Optimization of the Transtibial Amputation Stump
Injury,
Год журнала:
2025,
Номер
unknown, С. 112264 - 112264
Опубликована: Март 1, 2025
Язык: Английский
Breaking Barriers—The Promise and Challenges of Limb Osseointegration Surgery
Medicina,
Год журнала:
2025,
Номер
61(3), С. 542 - 542
Опубликована: Март 20, 2025
Limb
amputation
remains
a
significant
global
health
issue,
affecting
millions
of
individuals
annually.
A
substantial
proportion
these
patients
struggle
with
the
inadequate
fit
and
discomfort
conventional
prosthetic
sockets,
leading
to
diminished
quality
life.
Osseointegration
surgery,
promising
alternative,
offers
direct
skeletal
attachment
bone,
implant,
prosthetic,
providing
more
stable
functional
interface.
an
emerging
procedure,
while
exact
figures
are
difficult
pinpoint,
estimates
suggest
that
over
10,000
worldwide
have
received
osseointegration
implants
since
technique
was
first
introduced.
This
perspective
article
analyzes
recent
advancements
in
field
limb
osseointegration,
highlighting
key
achievements
such
as
improved
implant
materials,
surgical
techniques,
comprehensive
integration
strategies.
Additionally,
it
explores
future
directions
for
development
discusses
latest
research
trends
shaping
evolution
this
field.
Despite
developments,
widespread
adoption
faces
barriers,
including
complications,
limited
access
multidisciplinary
care,
economic
constraints,
need
further
long-term
clinical
evidence.
In
paper,
we
present
extensive
on
current
state
discuss
challenges
impeding
its
broader
implementation,
offer
recommendations
address
obstacles,
goal
enhancing
patient
outcomes
facilitating
into
mainstream
practice.
Язык: Английский
All the Limbs We Cannot See
European Journal of Vascular and Endovascular Surgery,
Год журнала:
2024,
Номер
68(1), С. 99 - 99
Опубликована: Фев. 17, 2024
Язык: Английский
Amputation Surgery: Not Very Trendy
European Journal of Vascular and Endovascular Surgery,
Год журнала:
2024,
Номер
68(5), С. 652 - 653
Опубликована: Авг. 3, 2024
Язык: Английский
Incidence and Risk Factors for Amputations in Persons with Diabetes Mellitus: A Retrospective Cohort Study
The International Journal of Lower Extremity Wounds,
Год журнала:
2024,
Номер
unknown
Опубликована: Ноя. 6, 2024
The
aim
of
this
study
was
to
identify
and
analyze
the
incidence
rate
amputations
their
risk
factors
in
people
with
Diabetes
Mellitus
(DM)
two
specialized
outpatient
clinics
Brazil.
This
is
an
epidemiological,
retrospective
cohort
using
data
collected
from
electronic
health
records
281
adult
diabetic
patient
types
1
or
2;
attended
service
between
2015
2020.
Statistical
analyses
were
performed
2
sample
t-test
Wilcoxon–Mann–Whitney
test,
for
quantitative
variables,
Pearson's
χ2
test
Fisher's
exact
categorical
variables.
investigation
amputation
carried
out
through
logistic
regression.
approved
by
ethical
committee.
mean
age
65.6
years
(SD
13.05),
predominating
male
gender
n
=
211
(75%),
type
DM
223
(86.7%),
cardiovascular
disease
143
(63.2%),
about
68.7%
(n
156)
peripheral
arterial
(PAD).
Seventy-seven
had
lower
limb
(LLA),
a
31.9%
during
five
years.
Logistic
regression
analysis
showed
following
associations
amputation:
Diabetic
neuropathy
increased
3.6
times
(OR
3.631,
95%
CI
1.214-11.353;
P
.022),
10
10.631;
2.969-57.029;
.001).
LLA
individuals
services
higher
compared
international
literature;
DPN
PAD
confirmed
as
amputation,
according
literature.
finding
suggests
that
population
faces
highlighting
urgent
need
targeted
interventions
implementing
robust
preventive
strategies
transform
current
scenario
mitigate
these
severe
outcomes.
A
comprehensive
approach
essential
proactively
address
underlying
issues
reduce
prevalence
impact
Язык: Английский
Capacidad pronóstica de los sistemas de clasificación de pie diabético para amputación de miembro inferior en América Latina y el Caribe: una revisión sistemática con metaanálisis
ACTA MEDICA PERUANA,
Год журнала:
2024,
Номер
41(3), С. 167 - 82
Опубликована: Дек. 30, 2024
Objetivo:
estimar
la
exactitud
pronóstica
para
amputación
de
miembro
inferior
las
escalas
pie
diabético
utilizadas
en
estudios
realizados
América
Latina
y
el
Caribe.
Materiales
métodos:
se
incluyó
a
longitudinales
sin
restricción
idioma
provenientes
Scielo,
Embase,
PubMed,
Web
of
Science
(WOS)
SCOPUS,
hasta
octubre
2024.
Los
registraron
incidencia
mayor
o
cualquier
nivel
según
aplicación
una
escala
al
inicio
atención
médica.
Mediante
un
metaanálisis
estimó
sensibilidad,
especificidad,
razón
verosimilitud
(LR,
del
inglés
likelihood
ratio)
positiva
(LR+)
negativa
(LR-),
odds
ratio
diagnóstico
área
bajo
curva
ROC.
El
riesgo
sesgo
fue
evaluado
utilizando
herramienta
QUADAS-2
certeza
evidencia
analizó
GRADE.
Resultados:
incluyeron
15
artículos
identificaron
cinco
escalas:
IDSA,
San
Elián,
Wifi,
Meggitt-Wagner
(con
umbrales
3
4)
Universidad
Texas,
nueve
países.
Para
nivel,
clasificación
que
mostró
sensibilidad
ambos
desenlaces
umbral
grado
con
valores
0,91.
La
Elián
presentó
especificidad
valor
0,92.
LR+
más
significativo
correspondió
4,1,
mientras
LR-
impacto
categoría
0,20.
Las
evaluaciones
GRADE
revelaron
muy
baja.
Conclusión:
Merritt-Wagner
demostraron
respectivamente.
Sin
embargo,
nuestra
investigación
muestra
importantes
limitaciones,
como
déficits
reporte
seguimiento,
elevada
heterogeneidad
número
limitado
estudios,
lo
explica
baja
evidencia.
Se
requiere
realización
rigor
metodológico
región.