Traumatic amputation of the lower leg typically occurs as a result of a high-energy event, such as a motor vehicle crash, a crush injury or a blast injury.
Diagnosis of traumatic amputation of the lower leg is typically made through visual inspection, imaging studies such as X-ray, CT or MRI, and medical history.
Differential diagnosis includes other causes of lower leg amputations such as congenital limb deficiency, vascular disease, malignancy, and peripheral neuropathy.
Treatment of traumatic amputation of the lower leg involves surgical debridement of the wound and closure, as well as dressing and wound care. In cases of partial amputation, amputation may be required to provide adequate wound healing. In cases of complete amputation, prosthetic fitting and physical therapy may be necessary.
The prognosis for traumatic amputation of the lower leg is usually good, though it depends on the extent of the injury and the patient’s overall health. Prosthetic fitting may improve function and quality of life.