Abstract
Amputation is usually the last resort for treatment of non-salvageable limbs due to various indications such as trauma, infection and malignancy. However, some patients still refuse surgery and reconstruction. Instead, they insist on keeping their limbs despite knowing the negative consequences including a limited or non-functioning limb. We present three cases who refused amputations: The first was a nine-year-old boy involved in a motor vehicle accident (MVA), with a left femoral midshaft open grade IIIb fracture; the mangled extremity severity score (MESS) was five. The second was a 16-year-old girl sustained a left leg crush injury, a fractured left fibula and an injury to the anterior tibial artery following an MVA; her MESS was 12. The third was a 60-year-old left-handed tractor driver presented with a five-year history of a slowly enlarging fungating growth over the dorsum of his left hand; biopsy confirmed basal cell carcinoma (BCC). We explore the cultural and religious reasons behind this stigma of amputation in a multiethnic community. It will help clinicians to manage these challenging situations according to the principles of medical ethics.
| Original language | English |
|---|---|
| Pages (from-to) | 116-119 |
| Number of pages | 4 |
| Journal | Bahrain Medical Bulletin |
| Volume | 39 |
| Issue number | 2 |
| Publication status | Published - 2017 |
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ASJC Scopus subject areas
- Medicine(all)
Cite this
Amputation and non-functioning limb salvage : Cultural stigma of limb loss. / Muhammed, Adi Syazni; Athi Kumar, Ramesh Kumar; Rahim, Abdul Halim Abdul; Imran, Farrah Hani.
In: Bahrain Medical Bulletin, Vol. 39, No. 2, 2017, p. 116-119.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Amputation and non-functioning limb salvage
T2 - Cultural stigma of limb loss
AU - Muhammed, Adi Syazni
AU - Athi Kumar, Ramesh Kumar
AU - Rahim, Abdul Halim Abdul
AU - Imran, Farrah Hani
PY - 2017
Y1 - 2017
N2 - Amputation is usually the last resort for treatment of non-salvageable limbs due to various indications such as trauma, infection and malignancy. However, some patients still refuse surgery and reconstruction. Instead, they insist on keeping their limbs despite knowing the negative consequences including a limited or non-functioning limb. We present three cases who refused amputations: The first was a nine-year-old boy involved in a motor vehicle accident (MVA), with a left femoral midshaft open grade IIIb fracture; the mangled extremity severity score (MESS) was five. The second was a 16-year-old girl sustained a left leg crush injury, a fractured left fibula and an injury to the anterior tibial artery following an MVA; her MESS was 12. The third was a 60-year-old left-handed tractor driver presented with a five-year history of a slowly enlarging fungating growth over the dorsum of his left hand; biopsy confirmed basal cell carcinoma (BCC). We explore the cultural and religious reasons behind this stigma of amputation in a multiethnic community. It will help clinicians to manage these challenging situations according to the principles of medical ethics.
AB - Amputation is usually the last resort for treatment of non-salvageable limbs due to various indications such as trauma, infection and malignancy. However, some patients still refuse surgery and reconstruction. Instead, they insist on keeping their limbs despite knowing the negative consequences including a limited or non-functioning limb. We present three cases who refused amputations: The first was a nine-year-old boy involved in a motor vehicle accident (MVA), with a left femoral midshaft open grade IIIb fracture; the mangled extremity severity score (MESS) was five. The second was a 16-year-old girl sustained a left leg crush injury, a fractured left fibula and an injury to the anterior tibial artery following an MVA; her MESS was 12. The third was a 60-year-old left-handed tractor driver presented with a five-year history of a slowly enlarging fungating growth over the dorsum of his left hand; biopsy confirmed basal cell carcinoma (BCC). We explore the cultural and religious reasons behind this stigma of amputation in a multiethnic community. It will help clinicians to manage these challenging situations according to the principles of medical ethics.
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M3 - Article
VL - 39
SP - 116
EP - 119
JO - Bahrain Medical Bulletin
JF - Bahrain Medical Bulletin
SN - 1012-8298
IS - 2
ER -