Article

Patients with major injuries to the upper limbs sometimes fail to achieve
successful limb salvage. During the attempt to fashion a functional limb,
multiple painful procedures may be ventured. Despite the best efforts of surgeons
and therapists, a nonfunctioning or painful upper limb may remain in place for many months or years before late delayed amputation and progression to productive
rehabilitation occur. We present three patient cases that illustrate failed
upper-limb salvage. In each case, patients expressed a desire for amputation at 6
months after their injury. To reduce the pain and suffering that patients with
failed limb salvage endure, we propose a paradigm shift in the limb-salvage time
line. We suggest that patients be evaluated for early delayed amputation 6 months after their injury.

Langue : ANGLAIS