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Amputation through the knee for the nonambulatory patient
Surgery, Gynecology & Obstetrics
|May 1, 1975
Summary
Knee amputation, a procedure with noted advantages for 150 years, remains underutilized. It offers a simple, safe, and swift option for high-risk patients, providing a functional stump with minimal pain.
Area of Science:
- Surgical Procedures
- Orthopedics
- Vascular Surgery
Background:
- Amputation through the knee has been performed for 150 years in the United States.
- Despite documented advantages, this surgical technique has not achieved widespread adoption.
- The procedure's benefits are particularly relevant for specific patient populations.
Purpose of the Study:
- To re-evaluate the indications and benefits of amputation through the knee.
- To advocate for the consideration of knee amputation as a primary surgical option in select cases.
- To highlight the advantages of this procedure for high-risk surgical candidates.
Main Methods:
- Historical review of knee amputation techniques and outcomes.
- Analysis of patient selection criteria for amputation through the knee.
- Comparative assessment of knee amputation versus other amputation levels.
Main Results:
- Amputation through the knee is characterized by simplicity, safety, and speed.
- Postoperative pain is minimal following knee amputation.
- The resulting stump is of sufficient length to be functional and useful.
Conclusions:
- Amputation through the knee should be the preferred procedure for poor-risk, bedridden patients.
- The technique offers significant advantages in terms of patient recovery and stump utility.
- Increased acceptance and utilization of knee amputation are recommended for appropriate patient groups.