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The Gritti-Stokes amputation in ischaemia: a review of 134 cases
Insights
The Gritti-Stokes amputation for ischemia shows good healing rates (88%) and acceptable mortality (11%). Long-term issues like stump pain are minimal, with new prosthetics improving outcomes.
Area of Science:
- Vascular Surgery
- Orthopedic Surgery
- Rehabilitation Medicine
Background:
- Ischemia often necessitates lower limb amputation.
- The Gritti-Stokes amputation is a reconstructive surgical technique for limb salvage.
- Evaluating long-term outcomes and patient satisfaction is crucial for surgical procedures.
Purpose of the Study:
- To present the results of 134 Gritti-Stokes amputations performed for ischemia.
- To assess the long-term efficacy and address common criticisms of the Gritti-Stokes amputation.
- To evaluate the suitability of prosthetic fitting and introduce a novel prosthesis.
Main Methods:
- Retrospective review of 134 Gritti-Stokes amputation cases for ischemia.
- Analysis of mortality rates, wound healing, and long-term complications.
- Assessment of prosthetic fitting challenges and patient-reported outcomes.
Main Results:
- A mortality rate of 11% was observed.
- Successful wound healing was achieved in 88% of cases.
- Long-term follow-up indicated minimal issues with stump pain and patellar mobility.
Conclusions:
- The Gritti-Stokes amputation demonstrates favorable healing and acceptable mortality rates.
- Common criticisms regarding stump pain and patellar mobility appear largely unjustified.
- A newly developed prosthesis offers potential advantages for prosthetic fitting after this amputation.
Abstract:
The results of 134 Gritti-Stokes amputations for ischaemia are presented. The mortality rate was 11% and healing occurred in 88%, reaffirming the good results already reported for this operation. The long term results are reviewed in an attempt to decide whether the most frequently cited criticisms of this procedure are justified. Stump pain and mobility of the patella were not major problems. The difficulties in fitting a suitable prosthesis are discussed and attention is drawn to the advantages of a new prosthesis that has been developed for this amputation.