Background and objective: Injuries account for 16% of global burden of diseases and causes a great deal of mortality and morbidity. Today, amputation is one of the biggest challenges facing us and may accompany serious functional, psychosocial and personality disorders in communities. Therefore, we decided to assess the causes and types of traumatic amputation in patients referring Ardabil’s Fatemi Educational Hospital from 2005 through 2006.

  Methods and materials: The present study was descriptively & analytically) retrospective in which the data were collected using a questionnaire. Our study population included 218 cases referring Ardabil Fatima educational Hospital for amputation from the beginning of 2005 through the end of 2006.

  Results: In this study, the mean age of injured cases is 28.9±19.1 and men were also injured three times more than women. Most of the cases attended in summer between 8:00 Am -8:00 Pm. The number of cases among city dwellers and residents of rural areas were almost equal and most of the cases (39/6%) were illiterate. Most of the cases were injured outdoors especially in their workplace. The most commonly seen cause of amputation was tools used in farming and husbandry especially mower. Most of the amputations (50/5%) were total and unintentional (99.5%). Most of the injuries were seen in upper extremities (94.5%), hands and especially fingers (97%)�

  conclusion: Based on the obtained results, male workers are at a higher risk. Most of the injuries occurred during the work hours and amputation caused by tools used in farming and husbandry has a high prevalence. This is probably due to the unsafe and old structure of these tools.

  Background and objectives: Because of diminished inflammatory responses to microbial invasion, the identification and diagnosis of diabetic foot infections remains a complex problem. The aim of this study was to determine the bacterial agents of diabetic foot infection and their antimicrobial susceptibility pattern. Additionally the percent of infections that were lead to amputation was determined.

  Methods: This retrospective study was conducted on a cross sectional basis at two teaching hospitals. Documents belonging to patients with diabetic foot infections in stages III and IV were studied. All demographic information, clinical manifestations, culture results, outcome of infection and other necessary data were recorded in special data sheets. The SPSS 13 statistical software was used for analyzing data. Statistical significance was assayed by Student’s t-test and chi². The differences were considered to be significant at the p<0.05 level.

  Results: Fifty two patients were selected, 36 patients (69.2%) were male. The mean age of patients was 60±12.8 years, and the mean duration of diabetes was 17±10.6 years. Amputation was done in 29 patients, and a significant correlation was found between duration of diabetes and amputation (p=0.04). The most frequently isolated pathogens were Staphylococcus aureus (38.46%) E. coli (15.4%), coagulase negative staphylococci (13.5%), and proteus spp (13.5%). Antimicrobial susceptibility results showed that 55% of Staphylococcus aureus isolates were resistant to methicillin. All the Staphylococcus aureus and coagulase negative Staphylococci isolates were sensitive to vancomycin. 100% and 87.5% of E. coli isolates were resistant to ceftriaxone and ceftazidime respectively. All Pseudomonas aeruginosa isolates were sensitive to ceftazidime.

  Conclusion: More than half of patients with diabetic foot infection were under amputation and there was significant correlation between amputation and duration of diabetes, so prevention of foot ulcer is very important in those patients. The results showed that the most isolates were resistance against common antibiotics and antibiogram is the best way to choose appropriate therapy in these patients.

  Introduction: Complete Amputation of wrist is physical and psychological trauma that can affect person's life. During recent years, various amputated organs were replanted back into their own body leading to improvement in quality of life, function and body image.

  Case Report : The case was a34 years old man with complete amputation at left hand at wrist level, while working with chainsaw. Patient was admitted to the emergency unit at Fatemi hospital of Ardabil city, and underwent tosurgery for replantation.

  Conclusion: Complete amputation of wrist and its successful replantation are among rarely occured and reportable cases . The5 -month follow-up indicated a successful operation . During this period, no abnormalities were found in the blood circulation . The finger grasping and nerve development were acceptable and no symptom of infection was observed