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[Disarticulation in the knee joint (author's transl)]
Langenbecks Archiv Fur Chirurgie
|November 1, 1979
Summary
Knee disarticulation is a highly recommended amputation level for select patients, particularly those with bone tumors or vascular disease. This procedure offers functional advantages over thigh amputation, with improved prosthesis fitting solutions.
Area of Science:
- Orthopedic Surgery
- Reconstructive Surgery
- Biomedical Engineering
Context:
- Amputation surgery is a critical intervention for limb salvage and life preservation.
- Selecting the optimal amputation level is crucial for functional outcomes and prosthetic rehabilitation.
- Traditional thigh amputations present specific challenges in prosthetic fitting and functional recovery.
Purpose:
- To evaluate the efficacy and patient suitability for knee disarticulation as an amputation level.
- To compare the functional outcomes and prosthetic rehabilitation of knee disarticulation versus thigh amputation.
- To identify patient populations that benefit most from knee disarticulation.
Summary:
- A study of thirty patients indicates knee disarticulation is a highly effective amputation level.
- Optimal candidates include patients with proximal tibia/fibula malignant bone tumors or peripheral vascular diseases.
- Key advantages include simpler surgical technique and a longer, more functional thigh stump, overcoming previous prosthetic challenges through socket modifications and advanced knee joint designs.
Impact:
- Knee disarticulation offers significant functional benefits and improved quality of life for amputees.
- This amputation level provides a viable alternative to higher-level amputations, especially for specific patient cohorts.
- Innovations in prosthetic technology enhance the success and usability of knee disarticulation outcomes.