Insight on Imbalance in Psyche as a Sequel in Salvage and Amputations in Trauma of Extremities – A Comparative Study

Introduction
Comparative analysis of under considered psychological implications in earning members of family who happen to be victims of trauma and often end up in early or delayed amputations to those in whom salvage to acceptable or useful function was possible.

Methods
Working and ably earning members who sustained traumatic wounds in industry, domestic, traffic, calamity, war, homicide, suicide, etc. Age groups from 18 to 60 years studied. Grade I, II, III A and III B compound wounds included. Psychological evaluation in early and delayed amputations compared with those salvaged to partial / useful function. Periodic and frequent counseling as integral part of treatment regime to victims of trauma and their peers, family members and employers.

Results
Frequent and repetitive counseling aids reduce post traumatic psychosis. Depressive psychosis is much less prevalent even in partially functionally acceptable traumatic limb salvage than in early or delayed amputations, though salvage takes a long course in management, rehabilitation and changed occupation by relocation.

Discussion
Classification, incidence and outcome of post traumatic psychosis (Major Depressive Disorder (MDD)). Need of effective counseling to reduce post traumatic psychological imbalance and improve quality of life. Behavioral changes and suicidal tendency are profound and pronounced in early amputees compared to subjects of delayed and revision amputations. Acceptance and adaptability with limb / extremity salvage is encouraging with minimal post traumatic psychosis.