Traumatic
In the pediatric age group, the most common causes of acquired amputations are trauma and disease (35). Trauma causes limb loss twice as often as disease (36). The most common traumatic injuries result from automobile and motorcycle collisions and train accidents.
Causes for traumatic injuries vary by region. In rural areas, farm accidents, lawnmower accidents, and high-tension wire injuries occur more frequently (37-40). For the older child, vehicular accidents, burns, gunshot wounds, and power tools are the most frequent causes of limb loss. Boating accidents can
Figure 13.3 Classifications of acquired amputations.
produce amputations by propeller injury. Sadly, in the 1-4-year-old age range, power tools such as lawn mowers and household accidents are frequent mechanisms of amputation (41,42).
A single limb is involved in more than 90% of acquired amputations, of which 60% involves the leg. The male-to-female ratio of acquired amputation is 3:1.
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