Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Through-the-knee amputation: an improved technique.

Noel Nellis1, Joseph M Van De Water

  • 1Department of Surgery, Mercer University School of Medicine at the Veterans Administration Medical Center, Dublin, Georgia 31021, USA.

The American Surgeon
|May 16, 2002
PubMed
Summary

Through-the-knee amputation (TKA) offers a viable solution for ischemic limbs when other treatments fail. An improved TKA technique achieved excellent stump healing and aesthetic results in 61 cases.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Impedance cardiography: can it replace thermodilution and the pulmonary artery catheter?

The American surgeon·2006
Same author

Impedance cardiography: a potential monitor for hemodialysis.

The Journal of surgical research·2006
Same author

The comparison of noninvasive hemodynamic monitoring with impedance cardiography and measurements using semicontinuous thermodilution via a pulmonary artery catheter in 11 patients in a study of a vasodilator drug.

Blood pressure monitoring·2006
Same author

Cardiopulmonary assessment: is improvement needed?

World journal of surgery·2005
Same author

TFC (thoracic fluid content): a new parameter for assessment of changes in chest fluid volume.

The American surgeon·2005
Same author

Impedance cardiography: the next vital sign technology?

Chest·2003

Area of Science:

  • Surgical techniques
  • Orthopedic surgery
  • Lower extremity reconstruction

Background:

  • Ischemic extremities often require amputation when revascularization is not feasible.
  • Traditional amputations may present challenges with prosthesis fitting and rehabilitation.
  • Through-the-knee amputation (TKA) is an alternative surgical option.

Purpose of the Study:

  • To evaluate an improved technique for Through-the-Knee Amputation (TKA).
  • To assess the outcomes of this TKA technique regarding stump quality and healing.
  • To compare TKA with other major lower extremity amputation procedures.

Main Methods:

  • A modified TKA technique was employed, involving removal of the distal 2 cm of the femoral head and condyles.
  • The patella was allowed to ankylose to the prepared distal femoral end.

Related Experiment Videos

  • Outcomes were assessed over 8 years, with 63 TKAs performed, 61 using the improved technique.

    • Main Results:

    • The improved TKA technique resulted in nonischemic, strong, and aesthetic stumps.
    • Primary healing was achieved in 100% of the 61 cases using the new method.
    • TKA with this technique demonstrated advantages over above-knee amputation and often superiority to below-knee amputation.

    Conclusions:

    • This improved TKA technique provides excellent outcomes for patients with ischemic lower extremities.
    • The method yields high rates of primary healing and superior stump quality.
    • TKA is a valuable option, particularly when prosthetic rehabilitation is not feasible.