截肢和无功能肢体抢救:肢体丧失的文化耻辱

Pub Date : 2017-06-01 DOI:10.12816/0047536

A. S. Muhammed, R. Kumar, Abdul Hamid Abdul Rahim, F. Imran

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引用次数: 2

摘要

一名9岁男孩在机动车事故(MVA)中，左大腿周向脱手套损伤，左股中轴开放性IIIb级骨折，见图1 (A至C)。血管造影显示无深部血管损伤。他的四肢严重程度评分(MESS)为5分。医生建议他进行膝盖以上的截肢手术，但他的父亲拒绝了，因为担心生下一个“残疾的孩子”。手术清创后行股骨钢板。他被转介到我们中心进一步处理软组织损伤。截肢和无功能肢体抢救:肢体丧失的文化耻辱

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Amputation and Non-Functioning Limb Salvage : Cultural Stigma of Limb Loss

A nine-year-old boy involved in a motor vehicle accident (MVA), sustained a circumferential degloving injury over his left thigh with a left femoral midshaft open grade IIIb fracture, see figure 1 (A to C). Angiogram revealed no deep vascular injury. His mangled extremity severity score (MESS) was five. A high above knee amputation (AKA) was advised, but his father refused for fear of having a “disabled child”. Surgical debridement was done followed by femoral plating. He was referred to our center for further management of the soft tissue injury. Amputation and Non-Functioning Limb Salvage: Cultural Stigma of Limb Loss

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