Traumatic Amputation From a Rollover Farming Incident in a 16-Year-Old.

Authors

Esther J. Kim, Department of Surgery, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Ryan Michels, Division of Orthopedic Surgery, Department of Surgery, Reading HospitaTower Health, West Reading, PA, USA.Follow
Herbert Schiffer, Department of Emergency Medicine, Reading Hospital-Tower Health, West Reading, PA, USAFollow
Michael Musso, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USA.Follow
Adrian Ong, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USA.Follow
Thomas A Geng Jr, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USA.Follow
Christopher A. Butts, Division of Trauma, Acute Care Surgery, and Surgical Critical Care, Reading Hospital-Tower Health, West Reading, PA, USA.Follow

Document Type

Article

Publication Date

8-2023

Abstract

There is very little literature on the overall management of adolescent traumatic amputation, specifically of the lower extremity. We present a case involving an adolescent patient involved in an industrial farm tractor rollover with substantial crush and degloving injuries requiring bilateral lower extremity amputations. The patient was initially assessed and acutely managed in the field before arriving at an adult level 1 trauma center having two right lower extremity tourniquets already applied and a pelvic binder in place. During his hospitalization, he was revised to bilateral above-knee amputations that required multiple debridements prior to being transferred to a pediatric trauma center due to the extent of the soft tissue injury and need for flap coverage. Our adolescent patient presented with an uncommon injury mechanism resulting in significantly mangled lower extremities highlighting the importance of a multidisciplinary approach in all aspects of the patient's prehospital, intrahospital, and posthospital care.

Publication Title

The American surgeon

Volume

89

Issue

8

First Page

3531

Last Page

3532

Recommended Citation

Kim, E. J., Michels, R., Schiffer, H., Musso, M., Ong, A., Geng, T., & Butts, C. A. (2023). Traumatic Amputation From a Rollover Farming Incident in a 16-Year-Old.. The American surgeon, 89 (8), 3531-3532. https://doi.org/https://doi.org/10.1177/00031348231161698