Importance of tying the sciatic nerve in above knee amputation to prevent neuroma formation

Sciatic Neuroma Presenting Forty Years After Above-Knee Amputation

We report a case of a sciatic neuroma presenting forty years after above knee amputation. Patients developing neuroma following a limb amputation can present with stump pain which is commonly resistant to medical intervention. The length of interval from the initial injury to presentation is widely variable. Diagnosis relies on clinical suspicion and accurate assessment, radiological imaging an...

22 Above - knee Amputation

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...

Knee disarticulation versus above-knee amputation.

If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is to be dissected. The thigh muscles are completely preserved and thus there is n...

Use of the Sole Flap to Convert an Above Knee Amputation to a Below Knee Amputation in Trauma.

Dear Editor, An amputation is often a better option in patients with severe lower limb trauma when the prognosis of a limb salvage procedure is not ideal. It also minimises morbidity and mortality.1 The level of amputation is determined by the zone of injury and availability of soft tissue cover beyond the level of bone amputation. This means that patients with severe segmental injuries involvi...