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Related Experiment Videos

Functional outcome after redo below-knee amputation.

Chad N Stasik1, Scott A Berceli, Peter R Nelson

  • 1University of Florida College of Medicine and the Malcom Randall VAMC, P.O. Box 100286, Gainesville, FL 32610, USA.

World Journal of Surgery
|March 4, 2008
PubMed
Summary
This summary is machine-generated.

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Redo below-knee amputation (BKA) in carefully selected patients leads to excellent functional outcomes, including healing and walking. Minor stump trauma and a palpable popliteal pulse are favorable indicators for successful redo BKA over above-knee amputation (AKA).

Area of Science:

  • Vascular Surgery
  • Reconstructive Surgery
  • Amputation Outcomes

Background:

  • Nonhealing below-knee amputation (BKA) often requires revision or conversion to above-knee amputation (AKA).
  • Functional outcomes following redo BKA are not well-established.
  • This study investigates the hypothesis that selected patients achieve favorable functional results after redo BKA.

Purpose of the Study:

  • To evaluate the functional outcomes of redo below-knee amputation (BKA) in selected patients.
  • To compare redo BKA outcomes with immediate conversion to above-knee amputation (AKA).
  • To identify factors predicting successful redo BKA.

Main Methods:

  • A retrospective review of patients undergoing redo BKA over four years at a single institution.

Related Experiment Videos

  • Comparison with a concurrent cohort undergoing immediate ipsilateral AKA.
  • Analysis of baseline demographics, comorbidities, stump trauma history, popliteal pulse, and functional outcomes.
  • Main Results:

    • Of 138 primary BKAs, 23 (17%) failed to heal.
    • Fourteen patients underwent redo BKA, and 9 underwent AKA; groups were similar in demographics and comorbidities.
    • Redo BKA patients had significantly higher rates of prior minor stump trauma (86% vs 0%) and palpable popliteal pulses (93% vs 44%) compared to AKA.
    • All redo BKA patients healed, 86% returned home, and 86% achieved ambulation, while no AKA patients walked.

    Conclusions:

    • Redo below-knee amputation (BKA) can yield excellent functional outcomes in selected patient populations.
    • A history of minor stump trauma and the presence of a palpable popliteal pulse are favorable indicators for successful redo BKA.
    • Redo BKA is a viable alternative to above-knee amputation (AKA) in appropriate candidates.