Pain and pain-related interference with physical function have not been thoroughly studied in individuals who have undergone knee-disarticulation amputations. The principal aim of this study was to determine whether individuals with knee-disarticulation amputations have worse pain and pain-related interference with physical function than do individuals with transtibial or transfemoral amputatio...

OBJECTIVE Little is known about long-term outcomes among patients who receive percutaneous angioplasty (PTA) for peripheral artery disease (PAD) then undergo below-knee or above-knee amputations. We sought to determine clinical outcomes associated with below-knee or above-knee amputation, along with possible explanatory factors and treatment strategies. METHODS Using data from Taiwan's Nation...

OBJECTIVE To identify factors that influence survival after diabetes-related amputations. RESEARCH DESIGN AND METHODS We abstracted medical records of 1,043 hospitalized subjects with diabetes and a lower-extremity amputation from 1 January to 31 December 1993 in six metropolitan statistical areas in south Texas. We identified mortality in the 10-year period after amputation from death certif...

Due to recent improvements in prosthetic limb componentry, through-the-knee (knee disarticulation) amputation has gained new interest for rehabilitation-minded amputation surgeons. Recent objective scientific studies from our gait analysis laboratory have described the walking characteristics of peripheral vascular insufficiency through-knee amputees, and have compared their function with simil...

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...

This article portrays the authors’ experience with a complex lower limb bone and soft tissue defect, following chronic osteomyelitis pathological fracture, which was managed by multidisciplinary orthoplastic team. The decision for functional amputation versus salvage deemed necessary, enhanced principles of “spare parts” in reconstructive microsurgery. case describes successful use osteocutaneo...