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...

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...

Background Amputation is a surgical procedure for the removal of a limb which is indicated when limb recovery is impossible. There are different types of amputation, and their causes can vary from one area to the other. Therefor, the aim of this study is to find out the patterns and causes of amputations in patients presented to Ayder Referral Hospital, Mekelle, Ethiopia. Methods the record o...

There is limited literature about the outcomes of total hip arthroplasty (THA) as a surgical option for above-knee amputees. Here, we described one case of femoral neck fracture with above-knee amputation. Two-year follow-up revealed an excellent clinical and radiological outcome. The main challenge of THA posed by the amputation was control of the lower extremity. We recommend inserting a pin ...

objective(s): the aim of study was to determine history of genitourinary diseases in war related bilateral lower limb amputees who were injured during iran-iraq war (1980-1988).   methods: subjects with war related bilateral lower limb amputation (335 persons) were examined by two physicians for any history of genitourinary diseases and their documents were reviewed.   results: the mean age was...

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...

BACKGROUND Lower limb critical ischemia is a major problem in dialysed patients. OBJECTIVE To evaluate the results of revascularization procedures, amputations and prosthetic rehabilitation in dialysed amputees. METHODS In this retrospective study we examined the charts of selected dialysis patients. Forty-eight patients had undergone major amputation (4.5% of the dialysis population), and ...

BACKGROUND Despite mild reductions in rates of lower extremity amputation over the past decade, few data exist on the use of arterial testing in patients before amputation. METHODS AND RESULTS Using Medicare claims from 2000 through 2010, we examined rates of preamputation arterial testing between 0 to 12 and 0 to 24 months before amputation. We used multivariable, modified Poisson regression...

This study reports on 7 patients who underwent a new technique for Chopart amputation that includes ankle and subtalar arthrodesis using an intramedullary nail. This method affords rigid control to the rearfoot and appears to avoid the most common complications historically associated with Chopart amputations. All 6 surviving patients achieved successful outcomes within 1 year of their surgery....

A transfemoral amputation has a significant effect on walking. Though current prosthetic knee options serve to restore mobility, as do purely passive devices, they do not fully restore nondisabled gait. Persons with transfemoral amputation incur a higher metabolic cost during walking than persons without amputation and as a result walk slower and for a shorter distance before tiring. An origina...