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[Knee exarticulation: technique for amputation of ischemic extremities]
1Klinik und Poliklinik für Technische Orthopädie und Rehabilitation, Westf. Wilhelms-Universität, Münster.
Langenbecks Archiv Fur Chirurgie. Supplement II, Verhandlungen Der Deutschen Gesellschaft Fur Chirurgie. Deutsche Gesellschaft Fur Chirurgie. Kongress
|January 1, 1989
Summary
Knee disarticulation amputation offers a superior stump compared to above-knee amputation, preserving muscle function and enabling better prosthetic fitting. This technique is particularly beneficial for vascular patients.
Area of Science:
- Orthopedic Surgery
- Prosthetics and Orthotics
- Vascular Surgery
Context:
- Traditional above-knee amputations often result in functional limitations.
- Developing improved amputation techniques is crucial for enhancing patient mobility and quality of life.
Purpose:
- To present an improved surgical technique for knee disarticulation amputation.
- To detail the postoperative management and prosthetic fitting for this specific amputation type.
Summary:
- Knee disarticulation or trough-knee amputation stumps are advantageous over above-knee stumps due to preserved bone and muscle structures.
- This technique allows for total end-load capacity and undisturbed muscle balance, simplifying prosthetic fitting.
- A specialized operative technique for vascular patients is described, including postoperative care and prosthetic principles.
Impact:
- Enhanced functional outcomes for amputees through optimized stump characteristics.
- Improved prosthetic integration and patient mobility.
- Advancement in surgical options for vascular patients requiring lower limb amputation.