Quote:
Originally Posted by fmichael
Jo -
Check this one out:
Amputation for reflex sympathetic dystrophy, Dielissen PW, Claassen AT, Veldman PH, Goris RJ, J Bone Joint Surg Br. 1995 Mar; 77(2): 270-3, FREE FULL TEXT @ http://web.jbjs.org.uk/cgi/reprint/77-B/2/270.pdf
Department of Surgery, University Hospital, Nijmegen, The Netherlands.
Comment in:
J Bone Joint Surg Br. 1995 Sep;77(5):836.
Abstract
We have reviewed 28 patients with reflex sympathetic dystrophy (RSD) who had 34 amputations in 31 limbs. The amputations had been performed for untenable pain (5), recurrent infection (14) or to improve residual function (15). Only two patients were relieved of pain by amputation, and this could not be predicted. Ten of 14 patients were cured of infection and 9 of 15 patients had improvement of residual function. In 28 of the amputations, RSD recurred in the stump, especially after amputation at a level which was not free from symptoms. Because of recurrence of RSD in the stump or severe hyperpathia only two patients wear a prosthesis. Despite this 24 patients were satisfied with the results.
PMID: 7706345 [PubMed - indexed for MEDLINE] http://www.ncbi.nlm.nih.gov/pubmed/7706345
Please look at out the one paragraph Conclusion at p. 273.
Mike |
it really annoys me that people use this paper and leave out the bit at the end which states that many were satisfied with the outcome. In fact in the full paper it says 73% of upper and 67% of lower amputees were satisfied and it was higher in those who elected surgery