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[Amputation due to chronic peripheral vascular disease. Risks and prognosis]
D Kirsch1, T Böttger, T Junginger
1Klinik und Poliklinik für Allegmein- und Abdominalchirurgie, Johannes-Gutenberg-Universität Mainz.
Zentralblatt Fur Chirurgie
|August 7, 1999
Summary
This study reviewed 181 amputations for peripheral vascular disease, finding minor amputations and below-knee procedures offered better rehabilitation outcomes. Pre-amputation vascular reconstruction reduced complications and revision rates.
Area of Science:
- Vascular Surgery
- Amputation Outcomes
- Peripheral Vascular Disease Management
Context:
- Retrospective review of 181 amputations in 156 patients (1985-1996) with chronic peripheral vascular disease.
- High prevalence of prior vascular operations (81%) indicates complex patient population.
- Analysis encompasses major (above/below-knee) and minor (foot/forefoot) amputations.
Purpose:
- To analyze complications, revision rates, and mortality associated with major and minor amputations.
- To evaluate the impact of pre-amputation vessel reconstruction on surgical outcomes.
- To assess long-term survival and rehabilitation status in patients undergoing amputation.
Summary:
- Operative mortality rates were 20% for major amputations and 9% for minor amputations.
- Pre-amputation vessel reconstruction significantly reduced wound healing complications and revision rates.
- Minor amputations, below-knee amputations, and knee disarticulations demonstrated superior rehabilitation results.
Impact:
- Highlights the importance of limb salvage strategies and appropriate amputation level selection.
- Demonstrates the benefit of optimizing vascular status prior to amputation.
- Provides data on long-term outcomes, informing clinical decision-making for peripheral vascular disease patients.