Amputation at the Knee

The Below-knee Amputation "

rhroughout the United States and Canada an estimated 80 percent of all major elective civilian amputations result from ischemia. All but a relatively few involve the lower extremity. Significant improvements in below-knee prostheses and important advances in surgical and postsurgical management now allow amputation below the knee in a majority of patients. In a consecutive series of 96 unselect...

Knee Fusion or Above-The-Knee Amputation after Failed Two-Stage Reimplantation Total Knee Arthroplasty

Prosthetic joint infection (PJI) is a serious complication of total knee arthroplasty (TKA). Control of infection after a failed two-stage TKA is not always possible, and the resolution of infection may require an above-knee amputation (AKA) or a the-knee (KF). The purpose of this review is to determine which treatment method (AKA or KF) yields better function and ambulatory status for patients...

22 Above - knee Amputation

Below-Knee Amputation Surgery

Throughout the history of lower-extremity amputation surgery, the relative emphasis placed on various parts of the procedure has undergone many changes as new techniques have become available and as new goals have been appreciated. At present, the amount and direction of available knowledge demand the surgeon's concern with fundamental principles. Since some of these problems must be considered...

Knee-disarticulation Amputation "

n r rarlons ~e~ow-mlgh level and proxlnial to nee-aisarticu~anon :I inclu,, .ill the transcondylar procedures such as the Gritti Stokes (1,2) ---d Callender (3,4) procedures and are not considered in this contribution. In my view they are largely undesirable because they provide little end bearing, may not leave sufficient space for the inclusion of assistive devices in the prosthetic knee, and...