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Amputation for peripheral vascular disease: the case for level selection.

P T McCollum·V A Spence·W F Walker
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Abstract

One hundred major lower limb amputations were performed for end stage peripheral vascular disease over a 15-month period. Selection of amputation level was made on the basis of laboratory criteria using skin blood flow and infrared thermography data. Eighty-one amputations were performed at the below-knee level with six failures. This resulted in a final below-knee: above-knee amputation ratio of 3:1. It is clear that there are still many centres in the UK where above-knee amputation is the accepted operation, despite the inherent drawbacks to this procedure. We recommend that more attention is given to achieving higher below-knee amputation rates to improve the chances of amputee mobility and therefore quality of life.

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Amputation, SurgicalDiabetic AngiopathiesHumansKneeLegProspective StudiesSkinSurgical FlapsThermographyVascular DiseasesWound HealingJournal Article

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BibTeXRIS

P T McCollum, V A Spence, W F Walker. 1988. Amputation for peripheral vascular disease: the case for level selection.. https://doi.org/10.1002/bjs.1800751215

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