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Below-knee amputation in peripheral arterial disease.

B King, R McIntyre, K Myers

    The Australian and New Zealand Journal of Surgery
    |August 1, 1975
    PubMed
    Summary
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    Below-knee amputation surgery is effective for healing in most patients with atherosclerotic peripheral arterial disease. This surgical technique utilizes a long posterior myoplastic flap for successful patient outcomes.

    Area of Science:

    • Vascular Surgery
    • Amputation Techniques
    • Peripheral Arterial Disease Management

    Background:

    • Atherosclerotic peripheral arterial disease (PAD) is a leading cause of limb ischemia.
    • Below-knee amputation is often necessary for limb salvage in advanced PAD.
    • Optimizing amputation techniques is crucial for successful healing and reducing complications.

    Purpose of the Study:

    • To present a specific below-knee amputation technique.
    • To evaluate the healing outcomes of this technique in patients with atherosclerotic PAD.
    • To detail the surgical methodology for reproducible results.

    Main Methods:

    • A below-knee amputation technique is described, emphasizing the absence of an anterior flap.
    • A long posterior myoplastic flap is utilized.

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  • The technique was applied to 32 consecutive cases.

    • Main Results:

    • The described amputation technique demonstrated successful healing in the majority of patients.
    • The use of a long posterior myoplastic flap contributed to favorable wound healing.
    • No significant complications related to the flap technique were reported in the series.

    Conclusions:

    • This below-knee amputation technique, featuring a long posterior myoplastic flap, is a viable and effective option for patients with atherosclerotic PAD.
    • The technique promotes successful wound healing, suggesting its utility in limb salvage procedures.
    • Further studies may explore long-term outcomes and comparisons with other amputation methods.