The healing in 20 through-knee amputations was compared with preoperatively measured skin perfusion pressure, determined as the minimal external pressure required to stop the washout of isotopes injected intradermally 10 cm distal to the knee joint. Out of 18 amputations with a skin perfusion pressure of above 20 mmHg only 2 failed to heal, whereas 2 out of 4 cases with skin perfusion pressure ...

The experience with 142 below-knee amputations for vascular occlusive disease and/or diabetes mellitus in 133 patients has been reviewed. The program utilized Xenon(133) skin bloodflow measurement for the selection of amputation level, emphasized the use of the long posterior skin flap as an important part of surgical technique, and employed immediate postoperative prosthesis with accelerated r...

OBJECTIVES The purpose of this study was to evaluate the relationship between race and level of amputation and to discuss the implications if a disparity was found. METHODS From the 2003 Healthcare Cost and Utilization Nationwide Inpatient Sample, 80845 (weighted) discharges with a diagnosis of vascular disease and black or white race were evaluated for a disparity in level of amputation. Lev...

This case report details our experience with lower-extremity ischemia due to extracorporeal membrane oxygenation. The patient presented massive myonecrosis caused by of the thighs and lower legs. Biphasic wound closure was performed using ultrasound debridement negative-pressure therapy prepare bed after knee disarticulation above-knee amputation.

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...

Background: High risk cases of leg amputation were one of major concerns in anesthesiologists.　 Cases: Sixteen cases with American Society of Anesthesiologists physical status (ASA-PS) 3 or 4 for leg amputation were reported.  Fifteen patients were medicated with more than two anticoagulants and 11 patients had bleeding tendency.  Thirteen patients received below knee amputation (BKA) and thre...

AIM To study long-term outcome of unilateral above-knee amputation. OBJECTIVE Long-term clinical symptoms and functional status of above-knee amputees are not well documented. The purpose of this study was to document the long-term outcome of war related above-knee amputations. CONTEXT The study consisted of a comprehensive assessment and examination and review of history and wartime medica...