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Hip disarticulation in peripheral vascular disease.
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 1, 1987
Summary
Hip disarticulation surgery is increasingly performed on vascular patients, often after other amputations. While outcomes like wound healing and prosthetic fitting are poor, the procedure can extend life and relieve pain for wheelchair-bound patients.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Increasing incidence of hip disarticulation in vascular patients.
- Often performed as a secondary procedure following distal amputations.
- Challenges associated with managing complex lower limb vascular disease.
Purpose of the Study:
- To evaluate outcomes of hip disarticulation in vascular patients.
- To assess wound healing, prosthetic fitting, and mortality rates.
- To understand the impact on quality of life and life expectancy.
Main Methods:
- Retrospective analysis of hip disarticulation cases in vascular patients.
- Review of surgical procedures, complications, and follow-up data.
- Assessment of wound healing, prosthetic utilization, and survival rates.
Main Results:
- High rates of complications in wound healing and prosthetic fitting.
- Significant mortality associated with the procedure.
- Despite poor surgical outcomes, improvements in pain relief and life extension were observed.
- Majority of surviving patients required wheelchair mobility.
Conclusions:
- Hip disarticulation in vascular patients presents significant challenges and poor surgical outcomes.
- The procedure may be life-saving and pain-relieving, offering a tolerable existence for some.
- Careful patient selection and management are crucial for this high-risk operation.