logo BDSP

Base documentaire


Votre avis nous intéresse

Le réseau BDSP met en oeuvre un projet d'innovation et d'amélioration de ses services, dans le souci constant de proposer des contenus de qualité adaptés aux besoins des utilisateurs.

Identifier de nouvelles sources de financements est la condition nécessaire pour assurer la poursuite et la pérennité de cet outil unique qu'est la BDSP, tout en le faisant évoluer.

Pour définir un nouveau modèle économique, nous avons besoin de votre avis : merci de répondre à notre enquête (temps estimé : 5 minutes).

Participer maintenant
Participer plus tard J'ai déjà participé

  1. Amputation versus reconstruction in traumatic defects of the leg : Outcome and costs.

    Article - En anglais

    This retrospective review covers global aspects of reconstructive efforts to salvage severely injured legs.

    Eighteen patients with traumatic lower leg amputation were compared to 21 patients who underwent complex microvascular reconstruction.

    The mean number of interventions was 3.5 for amputation and 8 for reconstruction (p<0.009).

    Total rehabilitation time was 12 months for amputation and 30 months for reconstruction (p<0.009).

    Changes in lifestyle were consistently more important in the amputee group.

    The mean annual hospital costs for amputated patients were 15'112 Swiss Francs (SD 7'094SF) for the first 4 years.

    The mean annual hospital costs for reconstructed patients were 17'365 Swiss Francs (SD 8'702SF) for the first 4 years.

    Fifty-six percent of the amputees and 19% of the reconstructed patients were retrained to a different profession (p<0.025).

    Fifty-four percent of the amputees and 16% of the reconstructed patients were drawing an extremely costly and lifelong invalidity pension (p<0.02).

    We conclude that for potentially salvageable legs reconstruction is advisable because the functional outcome was better than for amputation and there was no permanent social disintegration due to the long treatment.

    Total costs (including pensions) for reconstruction were far lower than for amputation.

    Mots-clés Pascal : Fracture ouverte, Jambe, Homme, Pronostic, Efficacité traitement, Analyse coût, Economie santé, Etude comparative, Plastie, Amputation chirurgicale, Capacité fonctionnelle, Tibia, Ostéosynthèse, Fixation, Os, Membre inférieur, Traumatisme, Système ostéoarticulaire pathologie, Peau pathologie, Chirurgie orthopédique

    Mots-clés Pascal anglais : Open fracture, Leg, Human, Prognosis, Treatment efficiency, Cost analysis, Health economy, Comparative study, Plasty, Surgical amputation, Functional capacity, Tibia, Osteosynthesis, Fixation, Bone, Lower limb, Trauma, Diseases of the osteoarticular system, Skin disease, Orthopedic surgery

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 96-0253003

    Code Inist : 002B16H. Création : 199608.