An in-depth analysis of the course of events leading to 49 delayed amputation of the lower extremity in 47 patients with open lower limb fractures is presented. Seventeen amputations were performed within one month mainly for vascular reasons. Eleven were between one month and one year, due to persistent sepsis and 21 amputations were performed more than a year after the original injury for inf...

A prospective, multicenter, cohort study from Italy December 2016 to 2018. For 287 patients with chronic limb-threatening ischemia (CLTI) who underwent open, endovascular, or hybrid lower extremity revascularization, the 30-day major adverse cardiovascular and limb events (MALE) rates were 3% 2%, respectively. At 1 year, overall survival, amputation-free freedom MALE, primary patency rate was 8...

BACKGROUND Recurrent dislocation of the patella in patients with below knee amputation is a known entity. Abnormally high-riding patella (patella alta) and medial patellofemoral ligament insufficiency in these patients predisposes them to patellar instability. The established treatment of this problem is surgical realignment. CASE PRESENTATION A 25 year old male patient with bilateral below k...

The success of the long posterior flap in obtaining sound healing at below-knee level is widely recognised in patients with ischaemic disease, and since this method was introduced in 1967 by Burgess and Romano, the number of patients with healing below-knee amputations in ischaemic disease has dramatically increased, and with improved methods of level selection this proportion may increase furt...

Physiotherapeutic treatment considerations specific to the through-knee amputee are presented. Treatment is determined by the assessment findings. The physiotherapy programme includes post-operative exercises, early weight-bearing, bed to chair transfers, bandaging techniques, the counteracting of contractures and gait training. Physiotherapy is a vital part of the rehabilitation of through-kne...

Osteomyelitis of the calcaneus is a difficult problem to manage. Patients affected by osteomyelitis of the calcaneus often have a below-the-knee amputation because of their comorbidity. In this article, we present seven cases of heel ulcerations with chronic osteomyelitis treated with Integra(®) Dermal Regeneration Template, skin graft and negative pressure wound therapy after partial tangentia...

A comparison of selected gait parameters and the energy cost of prosthetic walking was made in seventy patients with unilateral traumatic and vascular amputations. Amputations above the knee, below the knee, and at the Syme's level were compared in both groups of amputees, and a control group of forty normal subjects also studied. In both groups of amputees performance was significantly better ...

Two hundred and thirty subjects with various levels of upper and lower limb amputation were examined with regard to cardiac and respiratory functions. The subjects were examined at rest and in balanced wheelchair ergometer testing. Noncontinuous step-by-step increased loading was performed. The data given are for age-group 20-40 who sustained traumatic amputation and suffered no prior respirato...

OBJECTIVE To determine the epidemiology and conditions frequently seen in major lower extremity amputation. STUDY DESIGN Observational study. PLACE AND DURATION OF STUDY Teaching Hospital Karapitiya, Sri Lanka, from October 2013 to September 2014. METHODOLOGY Major lower limb amputations were identified according to ICD-10 criteria. Data was retrospectively collected. Type of the amputati...