Case Study - Amputation in Disasters and Conflicts
Original Editors - Naomi O'Reilly
Title[edit | edit source]
Poly-trauma with right below-knee amputation and left open tibial fracture with associated peroneal nerve injury.
Thanks to Humanity and Inclusion for Case Study taken from Early Rehabilitation in Conflicts and Disasters.
Abstract[edit | edit source]
Distressed six-year-old presented to an Emergency Medical Team with right below-knee guillotine amputation and left open tibial fracture with associated peroneal nerve injury.
Key Words [edit | edit source]
Poly-trauma, Amputation, Open Fracture, Peripheral Nerve Injury, Peroneal Nerve, Child, Trauma
Patient Characteristics[edit | edit source]
A six-year-old child presented to an EMT for closure of a below-knee guillotine amputation, wearing a full leg cast on their other leg. On further investigation, it was revealed that this cast was hiding an open tibial fracture, with an associated peroneal nerve injury. The management of injuries to the non-amputated side was vital for the child to able to walk using a prosthetic.
To complicate matters, the child was distressed by their injury and terrified of health staff. They were accompanied by a relative (not their parents). Managing their distress and educating them and their caregiver became an essential part of early rehabilitation - building trust before any physical rehabilitation could begin.
Resources[edit | edit source]
Early Rehabilitation in Conflict and Disasters, Humanity and Inclusion
References [edit | edit source]
- Lathia C, Skelton P, Clift Z, Chapter.6 Early Rehabilitation of Amputees. Lathia C, Skelton P, Clift Z. Early Rehabilitation in Conflicts and Disasters. London, UK: Handicap International. 2020. p133