ArticleFrontiers in bioengineering and biotechnology2021
The Injury Mechanism of Traumatic Amputation.
Article in Frontiers in bioengineering and biotechnology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 16 citations in OpenAlex.
- Reoperation and complication rates in acute lower limb amputations due to trauma.Bone & joint open · 2026Article
- The Histological and Mechanical Behavior of Skin During Puncture for Different Impactor Sizes and Loading Rates.Annals of biomedical engineering · 2025Article
- Risk and prognostic factors of replantation failure in patients with severe traumatic major limb mutilation.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Preliminary Considerations for Crime Scene Analysis in Cases of Animals Affected by Homemade Ammonium Nitrate and Aluminum Powder Anti-Personnel Landmines in Colombia: Characteristics and Effects.Animals : an open access journal from MDPI · 2022Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Traumatic amputation has been one of the most defining injuries associated with explosive devices. An understanding of the mechanism of injury is essential in order to reduce its incidence and devastating consequences to the individual and their support network. In this study, traumatic amputation is reproduced using high-velocity environmental debris in an animal cadaveric model. The study findings are combined with previous work to describe fully the mechanism of injury as follows. The shock wave impacts with the casualty, followed by energised projectiles (environmental debris or fragmentation) carried by the blast. These cause skin and soft tissue injury, followed by skeletal trauma which compounds to produce segmental and multifragmental fractures. A critical injury point is reached, whereby the underlying integrity of both skeletal and soft tissues of the limb has been compromised. The blast wind that follows these energised projectiles completes the amputation at the level of the disruption, and traumatic amputation occurs. These findings produce a shift in the understanding of traumatic amputation due to blast from a mechanism predominately thought mediated by primary and tertiary blast, to now include secondary blast mechanisms, and inform change for mitigative strategies.
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Registered trials
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