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[Transgenicular amputation: an alternative to thigh amputation?].

P Stirnemann, U Althaus

    Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
    |March 1, 1983
    PubMed
    Summary
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    Knee disarticulation (transgenicular resection) offers lower mortality and better prosthetic use than above-knee amputation. However, wound healing complications can necessitate re-amputation.

    Area of Science:

    • Orthopedic Surgery
    • Vascular Surgery
    • Rehabilitation Medicine

    Background:

    • Above-knee amputation is a common procedure for lower limb loss.
    • Knee disarticulation (transgenicular resection) has been explored as an alternative to above-knee amputation.

    Purpose of the Study:

    • To compare the outcomes of transgenicular resection versus above-knee amputation.
    • To evaluate mortality rates, prosthetic fitting, and rehabilitation potential.

    Main Methods:

    • Retrospective analysis of patients undergoing lower limb amputation between 1976 and 1979.
    • Comparison of outcomes between transgenicular (TG) and above-knee (AK) amputation groups.

    Main Results:

    • Transgenicular resection showed lower postoperative mortality (10% vs. 33%) and higher prosthetic fitting rates (77% vs. 61%) compared to above-knee amputation.

    Related Experiment Videos

  • Significantly improved patient rehabilitation with transgenicular resection, with 67% walking with prosthetics versus 20% after above-knee amputation.
  • Wound healing complications, including necrosis and infection, occurred in approximately 25% of transgenicular resection stumps, sometimes requiring re-amputation at the above-knee level.

    • Conclusions:

    • Transgenicular resection is a viable alternative to above-knee amputation, offering significant benefits in terms of survival and functional outcomes.
    • Careful patient selection and management of wound healing are crucial for optimizing transgenicular resection success.
    • Further research may be warranted to minimize complications and maximize the benefits of knee disarticulation procedures.