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Related Experiment Videos

Experience with the 'skew flap' below-knee amputation.

J D Harrison1, S Southworth, K G Callum

  • 1Royal Infirmary, Derby, UK.

The British Journal of Surgery
|October 1, 1987
PubMed
Summary
This summary is machine-generated.

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The skew flap below-knee amputation technique significantly improves stump healing time and reduces complications compared to the Burgess technique. This leads to a higher success rate for below-knee amputations.

Area of Science:

  • Surgical techniques
  • Lower limb amputations
  • Orthopedic surgery

Background:

  • Review of 353 lower limb amputations over 7 years.
  • Introduction of skew flap myoplastic below-knee amputation in 1983.
  • Reported advantages: improved wound healing and earlier ambulation.

Purpose of the Study:

  • Assess the results of the skew flap myoplastic below-knee amputation.
  • Compare skew flap technique with the earlier Burgess type below-knee amputation.
  • Evaluate wound healing and complication rates.

Main Methods:

  • Retrospective review of 353 lower limb amputations.
  • Comparison of two 3.5-year periods.
  • Analysis of amputation types, healing times, and stump failures.

Related Experiment Videos

  • Groups compared for prior vascular surgery and medical conditions.

    • Main Results:

    • Total amputations decreased by 31%; below-knee (BK) amputations increased from 23.7% to 41.5%.
    • Skew flap BK amputations showed significantly shorter stump healing time (P=0.001).
    • Trend towards fewer stump failures with the skew flap technique.

    Conclusions:

    • Skew flap amputation offers superior results to Burgess BK amputation regarding healing and complication rates.
    • The skew flap technique allows for a higher proportion of successful below-knee amputations.
    • A prospective randomized trial is underway to confirm these findings.