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
Archives of Surgery – American Medical Association
Published: Mar 1, 1963
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
Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly
Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.
Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.
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.
“Hi guys, I cannot tell you how much I love this resource. Incredible. I really believe you've hit the nail on the head with this site in regards to solving the research-purchase issue.”Daniel C.
“Whoa! It’s like Spotify but for academic articles.”@Phil_Robichaud
“I must say, @deepdyve is a fabulous solution to the independent researcher's problem of #access to #information.”@deepthiw
“My last article couldn't be possible without the platform @deepdyve that makes journal papers cheaper.”@JoseServera