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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

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[Upper leg amputation. Transfemoral amputation].

R Baumgartner¹

¹Zumikon bei ZürichSchweizrabaumgart@bluewin.ch

Operative Orthopadie Und Traumatologie

|October 7, 2011

Summary

This summary is machine-generated.

This study details a specific femur amputation technique preserving hip mobility for prosthetic fitting. It

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Area of Science:

Orthopedic Surgery
Reconstructive Surgery
Prosthetics

Background:

Amputation is sometimes necessary when distal limb salvage is impossible.
Preserving function and enabling prosthetic use are key goals in amputation surgery.

Observation:

The surgical technique involves creating soft tissue flaps, myodesis or myopexy for muscle fixation, and shortening the sciatic nerve.
Contraindications include the possibility of more distal amputation levels.
The procedure is not suitable for peripheral vascular diseases but may be adapted for chronic osteomyelitis.

Findings:

Successful femur amputation preserves hip range of motion and allows for total contact prosthetic socket fitting.
Postoperative management includes a 2-week immobilization period followed by physical therapy and prosthetic fitting at 4-6 weeks.
Walking ability after double above-knee amputation is severely limited, especially in patients with peripheral artery disease.

Implications:

This surgical approach offers a viable option for limb preservation when distal amputations are not possible.
Optimized stump creation can improve prosthetic function and patient mobility.
Further research may explore adaptations for specific conditions like chronic osteomyelitis and peripheral vascular disease.