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Above vs. below knee amputations: a retrospective analysis

R L Rizzo, T Matsumoto

    International Surgery
    |May 1, 1980
    PubMed
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    This study reviewed 117 lower limb amputations, primarily due to peripheral vascular disease. Sepsis was the leading cause of death, contributing to a 20.2% overall mortality rate in amputation patients.

    Area of Science:

    • Vascular Surgery
    • Amputation Procedures
    • Patient Outcomes

    Background:

    • Lower limb amputations are often necessitated by severe peripheral vascular disease.
    • Understanding amputation trends and outcomes is crucial for improving patient care.

    Purpose of the Study:

    • To analyze the case histories and outcomes of lower limb amputations over a four-year period.
    • To identify the primary indications for amputation and associated complications.

    Main Methods:

    • Retrospective review of 99 case histories.
    • Analysis of 117 lower limb amputations (58 below-knee, 54 above-knee).
    • Examination of reasons for surgery and causes of mortality.

    Main Results:

    Related Experiment Videos

  • Peripheral vascular disease was the primary indication for 117 lower limb amputations.
  • 58 below-knee amputations were performed, with 5 revised to above-knee level.
  • The overall mortality rate was 20.2%, with sepsis as the main cause of death.

    • Conclusions:

    • Peripheral vascular disease remains a significant driver for lower limb amputations.
    • Sepsis poses a major threat, highlighting the need for infection control in amputation patients.
    • Further research into preventing amputation and reducing mortality is warranted.