Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

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

Treatment for femoral pseudoaneurysms.

The Cochrane database of systematic reviews·2013

Same author

Migrating Filshie clip.

BMJ case reports·2011

Same author

Varicose veins.

BMJ clinical evidence·2011

Same author

Involvement of the genicular branches in cystic adventitial disease of the popliteal artery as a possible marker of unfavourable early clinical outcome: a case report.

Journal of medical case reports·2010

Same author

Treatment for femoral pseudoaneurysms.

The Cochrane database of systematic reviews·2009

Search research articles

Related Experiment Video

Updated: May 1, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

Type of incision for below knee amputation.

Paul V Tisi¹, Mary M Than

¹Department of Vascular Surgery, Bedford Hospital, Kempston Road, Bedford, Bedfordshire, UK, MK42 9DJ.

The Cochrane Database of Systematic Reviews

|April 10, 2014

Summary

Different below-knee amputation (BKA) incision techniques show no significant difference in outcomes. However, a two-stage procedure improves stump healing for patients with wet gangrene.

Area of Science:

Vascular Surgery
Orthopedic Surgery
Wound Healing

Background:

Below-knee amputation (BKA) is often necessary for critical limb ischemia or diabetic foot sepsis when other treatments fail.
Optimal surgical techniques for BKA to maximize rehabilitation potential remain debated.
This review is an update on evidence for BKA incision techniques.

Purpose of the Study:

To evaluate the impact of different skin incision types on BKA outcomes.
To compare skew flap amputation versus the long posterior flap technique for BKA.
To assess BKA outcomes in patients with lower limb ischemia or diabetic foot sepsis.

Main Methods:

Systematic review of randomized controlled trials comparing BKA incision techniques.
Searched Cochrane Peripheral Vascular Diseases Group Trials Register and CENTRAL.

More Related Videos

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

Published on: January 13, 2022

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

Published on: July 4, 2017

Related Experiment Videos

Last Updated: May 1, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve

Published on: September 7, 2022

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

The Muscle Cuff Regenerative Peripheral Nerve Interface for the Amplification of Intact Peripheral Nerve Signals

Published on: January 13, 2022

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

A Rat Tibial Growth Plate Injury Model to Characterize Repair Mechanisms and Evaluate Growth Plate Regeneration Strategies

Published on: July 4, 2017

Included studies focused on lower limb ischemia or diabetic foot sepsis; excluded other BKA indications.

Main Results:

Three studies (309 participants) were included, comparing one-stage vs. two-stage, skew flap vs. long posterior flap, and sagittal flap vs. long posterior flap BKAs.
Skew and sagittal flaps offered no advantage over the long posterior flap for primary stump healing.
A two-stage procedure significantly improved primary stump healing in patients with wet gangrene compared to a one-stage procedure.

Conclusions:

No single BKA incision technique demonstrates superior outcomes over others.
For wet gangrene, a two-stage BKA procedure enhances primary stump healing.
Surgeon preference, considering experience and patient factors, guides BKA technique selection.