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...

The objective of this report is to prove that even after development of ischemic necrosis of the muscles and nerves, we can still save the extremity or the knee and even several days after arterial injury, perform arterial repair and other mentioned procedures. Thus we can retain a functionally satisfactory leg or knee joint, which is far better than classic above-knee amputation and utili...

Background: Through-knee amputation provides a longer lever arm and improved muscle control of the limb compared with above-knee amputation. Through-knee amputation also allows use of a total end-bearing prosthesis, which avoids the ischial pressure and suspension belts required of the above-knee amputation prosthesis. Several reports in the European literature tout the superiority of the throu...

background long-term clinical symptoms and functional status of above-knee amputees are not well documented. this study documents the long-term outcomes of war related above-knee amputations. objective to study the long-term outcomes of unilateral above-knee amputation. materials and methods the study consisted of a comprehensive assessment, examination, and review of history and wartime medica...

There are approximately 1.6 million lower extremity amputees in the United States. Lower extremity amputees are subject to increased physical demands proportional to their level of amputation. Lower extremity amputees have a 6-fold higher risk of developing radiographic osteoarthritis in the ipsilateral hip and a 2-fold risk of developing radiographic osteoarthritis in contralateral hip when co...

Objective: Few studies have described the complications leading to transfemoral amputation after total knee arthroplasty. The aim of this study was to demonstrate which long term prosthesis-related complications can lead to the loss of a limb after knee joint replacement and to provide clinical guidance regarding the situations that generate an increased likelihood of a patient requiring above ...

Persons with unilateral, lower-extremity amputation are at risk of developing osteoarthritis in their intact limb. Among persons without amputation, knee osteoarthritis disease severity has been linked to elevated frontal plane knee moments. Therefore, the purpose of this study was to examine knee and hip frontal plane moments in persons with unilateral, trans-tibial amputation. We hypothesized...

INTRODUCTION Chronic osteomyelitis is a disease that requires fastidious treatment to eliminate. However, when eradication is unable to be achieved through exhaustive modalities of antibiotic therapy and multiple debridements, significant resection of the infected bone and soft tissue must be considered, including amputation. Here we report of a salvage procedure for chronic osteomyelitis of th...

A review of smoking habits of 77 vascular related amputees demonstrated a high incidence of smoking significantly greater for men than in the general population. Male smoking amputees with atherosclerosis related peripheral vascular disease were found to have a high risk of having an above-knee amputation. Those with diabetes mellitus whether male or female, smokers or not, had a significantly ...

This is a report of a 64-year-old man who had undergone a high tibial osteotomy (HTO) 17 years ago of his right knee for medial compartment osteoarthritis; 5 days later, he received a below-knee amputation owing to a missed popliteal artery injury at the time of the HTO. We elected to perform a total knee replacement (TKR) for progressive arthritis of the ipsilateral knee 17 years after the tra...