Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You and Your Team.

Learn More →

Amputation for Arteriosclerosis Obliterans

Amputation for Arteriosclerosis Obliterans Abstract Although several objective tests have been described to aid in the selection of an amputation site which is likely to heal in a patient with arteriosclerosis obliterans of the lower extremity, most surgeons probably rely on clinical examination to make this decision.3,6 An error in judgment with regard to the adequacy of the circulation at the selected site may result in failure of the wound to heal. The resulting complications, the prolongation of confinement to bed, and the necessary reamputation increase morbidity and mortality. Many instances of failure could be avoided if amputation were performed only at a level sufficiently proximal to assure maximal vascularity. However, for the patient there are definite advantages in preserving as much of the limb as possible provided sound healing is obtained. Depending upon the level, these include ability to ambulate without a crutch or other prosthesis or to be fitted with a more References 1. Carney, W. I., and Goldowsky, S. J.: Amputations in Peripheral Vascular Disease , Amer. J. Surg. 93:795, 1957.Crossref 2. Claugus, C. E.; Graham, G. C.; Bowling, E. C., and Hamilton, J. E.: Amputations of the Lower Extremity for Arteriosclerosis , A.M.A. Arch. Surg. 76:992, 1958.Crossref 3. Kelly, P. J., and Janes, J. M.: Criteria for Determining the Proper Level of Amputation in Occlusive Vascular Disease , J. Bone Joint Surg. 39:883, 1957. 4. Shumacker, H. B., and Moore, T. C.: Leg and Thigh Amputations in Obliterative Arterial Disease , A.M.A. Arch. Surg. 63:458, 1951.Crossref 5. Schlitt, R. J., and Serlin, O.: Lower Extremity Amputations in Peripheral Vascular Disease , Amer. J. Surg. 100:682, 1960.Crossref 6. Silbert, S., and Haimovici, H.: Criteria for the Selection of Amputation for Ischemic Gangrene , J.A.M.A. 155:1554, 1954.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Loading next page...
 
/lp/american-medical-association/amputation-for-arteriosclerosis-obliterans-1lk8Xhd7Ys
Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310090056011
Publisher site
See Article on Publisher Site

Abstract

Abstract Although several objective tests have been described to aid in the selection of an amputation site which is likely to heal in a patient with arteriosclerosis obliterans of the lower extremity, most surgeons probably rely on clinical examination to make this decision.3,6 An error in judgment with regard to the adequacy of the circulation at the selected site may result in failure of the wound to heal. The resulting complications, the prolongation of confinement to bed, and the necessary reamputation increase morbidity and mortality. Many instances of failure could be avoided if amputation were performed only at a level sufficiently proximal to assure maximal vascularity. However, for the patient there are definite advantages in preserving as much of the limb as possible provided sound healing is obtained. Depending upon the level, these include ability to ambulate without a crutch or other prosthesis or to be fitted with a more References 1. Carney, W. I., and Goldowsky, S. J.: Amputations in Peripheral Vascular Disease , Amer. J. Surg. 93:795, 1957.Crossref 2. Claugus, C. E.; Graham, G. C.; Bowling, E. C., and Hamilton, J. E.: Amputations of the Lower Extremity for Arteriosclerosis , A.M.A. Arch. Surg. 76:992, 1958.Crossref 3. Kelly, P. J., and Janes, J. M.: Criteria for Determining the Proper Level of Amputation in Occlusive Vascular Disease , J. Bone Joint Surg. 39:883, 1957. 4. Shumacker, H. B., and Moore, T. C.: Leg and Thigh Amputations in Obliterative Arterial Disease , A.M.A. Arch. Surg. 63:458, 1951.Crossref 5. Schlitt, R. J., and Serlin, O.: Lower Extremity Amputations in Peripheral Vascular Disease , Amer. J. Surg. 100:682, 1960.Crossref 6. Silbert, S., and Haimovici, H.: Criteria for the Selection of Amputation for Ischemic Gangrene , J.A.M.A. 155:1554, 1954.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Mar 1, 1963

References

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$499/year

Save searches from
Google Scholar,
PubMed

Create folders to
organize your research

Export folders, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month