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Below-Knee Amputations

Below-Knee Amputations Abstract Through the years voices have been raised from time to time to question the standard thigh amputation for peripheral vascular disease as the only reasonable procedure for the removal of the gangrenous extremity. Among others McKittrick et al.2 championed the transmetatarsal procedure, and Silbert and Haimovici,3 below-the-knee amputation. Nevertheless, most surgeons continue to feel that these operations will not succeed in a very high percentage of cases. It is the purpose of this paper to present a below-the-knee amputation that has produced a well-healed stump in 14 of 15 limbs. All amputations were performed by 1 surgeon or by residents under his direct observation and direction. Material The accompanying Table 1 gives the important facts concerning the type of patient selected and the end-results. It will be noted that there were 13 patients. Three were women and 10 men. All had arteriosclerosis except for 1 with Buerger's disease. References 1. Ghormley, R. K.: Amputation in Occlusive Vascular Disease , in Allen, E. V.; Baker, N. W., and Hines, E. A., Jr.: Peripheral Vascular Diseases , Philadelphia, W. B. Saunders Company, 1947. 2. McKittrick, L. S.; McKittrick, J. B., and Risley, S.: Transmetatarsal Amputation for Infection or Gangrene in Patients with Diabetes Mellitus , Ann. Surg. 130:826, 1949.Crossref 3. Silbert, S., and Haimovici, H.: The Results of Midleg Amputation for Gangrene in Diabetes , J.A.M.A. 144:454, 1954.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Below-Knee Amputations

Archives of Surgery , Volume 86 (2) – Feb 1, 1963

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310080023006
Publisher site
See Article on Publisher Site

Abstract

Abstract Through the years voices have been raised from time to time to question the standard thigh amputation for peripheral vascular disease as the only reasonable procedure for the removal of the gangrenous extremity. Among others McKittrick et al.2 championed the transmetatarsal procedure, and Silbert and Haimovici,3 below-the-knee amputation. Nevertheless, most surgeons continue to feel that these operations will not succeed in a very high percentage of cases. It is the purpose of this paper to present a below-the-knee amputation that has produced a well-healed stump in 14 of 15 limbs. All amputations were performed by 1 surgeon or by residents under his direct observation and direction. Material The accompanying Table 1 gives the important facts concerning the type of patient selected and the end-results. It will be noted that there were 13 patients. Three were women and 10 men. All had arteriosclerosis except for 1 with Buerger's disease. References 1. Ghormley, R. K.: Amputation in Occlusive Vascular Disease , in Allen, E. V.; Baker, N. W., and Hines, E. A., Jr.: Peripheral Vascular Diseases , Philadelphia, W. B. Saunders Company, 1947. 2. McKittrick, L. S.; McKittrick, J. B., and Risley, S.: Transmetatarsal Amputation for Infection or Gangrene in Patients with Diabetes Mellitus , Ann. Surg. 130:826, 1949.Crossref 3. Silbert, S., and Haimovici, H.: The Results of Midleg Amputation for Gangrene in Diabetes , J.A.M.A. 144:454, 1954.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1963

References