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Updated: May 12, 2026

Regenerative Peripheral Nerve Interface: Surgical Protocol for a Randomized Controlled Trial in Postamputation Pain
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Pirogow's Amputation: A Modification of the Operation Method.

M Bueschges1, T Muehlberger, K L Mauss

  • 1Sektion für Plastische Chirurgie und Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Universitätsklinikum Schleswig Holstein Campus Lübeck, Ratzeburger Allee 160, 23560 Lübeck, Germany.

Advances in Orthopedics
|April 23, 2013
PubMed
Summary
This summary is machine-generated.

A modified Pirogow amputation technique improves patient outcomes. This ankle amputation method offers better mobility and reduced pain compared to the original procedure, making it a valuable alternative.

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Area of Science:

  • Orthopedics
  • Surgical Innovation

Background:

  • Pirogow amputation at the ankle is an alternative to lower leg amputation.
  • This method allows mobility without prosthesis but is rarely performed.

Purpose of the Study:

  • To propose and evaluate a modified Pirogow amputation technique.
  • To assess the outcomes of the modified method objectively.

Main Methods:

  • Modification involved rotating the calcaneus.
  • Fixation used Kirschner wire, spongiosa tension screw, and external fixator.
  • Outcomes assessed at 12 months using the Ankle Score questionnaire.

Main Results:

  • 70% of patients reported excellent/very good results with the modified method vs. 40% with the original.
  • Modified technique showed reduced pain, improved radiological results, and better mobility.
  • Reduced postoperative leg length difference was observed.

Conclusions:

  • The modified Pirogow amputation is a valuable alternative to the original technique.
  • Benefits include significantly reduced pain, fewer radiological complications, and enhanced mobility without prosthesis.