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Amputations for vascular insufficiency.

P Netz, A Stark, H Ringertz

    Prosthetics and Orthotics International
    |April 1, 1983
    PubMed
    Summary
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    This study of 302 lower limb amputations found a high rate of above-knee amputations for vascular insufficiency, regardless of surgeon experience. There is a critical need to reduce amputation levels while managing complications and improving rehabilitation strategies.

    Area of Science:

    • Vascular Surgery
    • Lower Limb Amputation
    • Vascular Insufficiency

    Background:

    • Major lower limb amputations are frequently performed for vascular insufficiency.
    • Diabetes mellitus and arteriosclerosis are primary underlying vascular diseases.
    • Surgeon experience may influence amputation outcomes.

    Purpose of the Study:

    • To analyze 302 major lower limb amputations for vascular insufficiency.
    • To assess amputation levels, postoperative complications, re-amputations, and mortality.
    • To relate outcomes to vascular disease type and surgeon experience.

    Main Methods:

    • Retrospective review of 302 major lower limb amputations.
    • Data collected on amputation level, vascular disease, surgeon seniority, revisions, re-amputations, and mortality.

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  • Analysis of complication rates across different surgeon experience levels.

    • Main Results:

    • High incidence of above-knee amputations for both diabetics and arteriosclerotics.
    • Significant complication rates observed irrespective of surgeon experience (senior or junior).
    • Amputations performed in 1978 indicated a need for lower amputation levels without increased complications.

    Conclusions:

    • There is an urgent need to decrease the level of lower limb amputations for vascular insufficiency.
    • Current practices result in high rates of above-knee amputations and complications.
    • Further research is required on the rehabilitation challenges faced by above-knee amputees.