Ahmad Javed, Gupta Anil Kumar, Sharma V P, Kumar Dileep, Yadav Ganesh, Singh Sanjai
J Pediatr Rehabil Med. 2016 Nov 30;9(4):265-269. doi: 10.3233/PRM-160398.
To determine the demographic pattern, level, mechanism of traumatic amputation in children and adolescent age group and to compare findings with other studies.
Patients aged less than 18 years with traumatic amputation attending Department of Physical Medicine and Rehabilitation, King George's Medical University, Lucknow, India between July 2013 and January 2016 were enrolled and their demographic characteristics were analyzed.
Fifty-three patients were included aged less than 18 years when injured. Mean age of the population studied was 9.89 ± 4.13 with male to females ratio of 3:2. Majority (69.81%) of traumatic amputations involved lower limb. Most common level was unilateral transtibial (35.85%), followed by transfemoral (16.98%). In upper limb, most common type was transradial. RTA followed by train accidents was most common mechanism of traumatic amputation. 8 patients needed revision surgery. 52.8% patients of acquired amputations complained of phantom sensation and 37.74% phantom pain.
This study aims to visualize the current scenario and the data generated could be possibly helpful in planning policies and programs at institutional as well as at higher levels for prevention, treatment and distribution of resource to the young amputee population, to ensure their better health care and also opportunities in life.
确定儿童和青少年年龄组创伤性截肢的人口统计学模式、水平及机制，并将研究结果与其他研究进行比较。
纳入2013年7月至2016年1月期间在印度勒克瑙乔治国王医科大学物理医学与康复科就诊的年龄小于18岁的创伤性截肢患者，并对其人口统计学特征进行分析。
共纳入53例受伤时年龄小于18岁的患者。研究人群的平均年龄为9.89±4.13岁，男女比例为3:2。大多数（69.81%）创伤性截肢累及下肢。最常见的水平为单侧经胫骨截肢（35.85%），其次是经股骨截肢（16.98%）。在上肢，最常见的类型是经桡骨截肢。道路交通事故（RTA）继而是火车事故是创伤性截肢最常见的机制。8例患者需要进行翻修手术。52.8%的后天性截肢患者主诉有幻肢感觉，37.74%有幻肢痛。
本研究旨在呈现当前的情况，所生成的数据可能有助于在机构以及更高层面制定预防、治疗和向年轻截肢人群分配资源的政策和计划，以确保他们能获得更好的医疗保健以及生活机会。
