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Results for “AMPUTATION STUMPS”

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At least 181 records · Page 10Linked to original sources
PubMed1986

Controlled environment unit in the care of the below-knee amputation stump.

A controlled environment unit has been compared with plaster dressings in the management of the below knee stump in 60 patients undergoing amputation for advanced vascular disease. The main criteria were stump healing and the speed of rehabilitation. There were 30 patients in each group. Three patients died within 10 days of operation. Primary healing was obtained in 65 per cent, secondary healing in 22 per cent and revision to above knee was required in 13 per cent. There were no statistically significant differences between the two groups. Neither did they differ in the times taken to reach the various stages of rehabilitation from bed exercises to independent walking with final prosthesis. While the controlled environment unit was as effective as the plaster dressing it tended to impede the patients' early mobility and to hinder nursing care. In particular it is not recommended for patients who may be confused or restless in the early postoperative period.

Aged↗
PubMed2000

Lengthening of congenital below-elbow amputation stumps by the Ilizarov technique.

Patients with short congenital amputations below the elbow often function as if they have had a disarticulation of the elbow. We have reviewed the results in six patients who had lengthening of such stumps by the Ilizarov technique to improve the fitting of prostheses. The mean lengthening was 5.6 cm (3.4 to 8.4), and in two patients flexion contractures of the elbows were corrected simultaneously. Additional lateral distraction was used in one patient to provide a better surface on the stump. There were no major complications. All six patients were able to use their prosthesis at the latest follow-up after 39 to 78 months.

Adolescent↗
PubMed1985

Gangrene of the immediate postoperative above-knee amputation stump: role of emergency revascularization in preventing death.

Two hundred seventy-five lower extremity amputations were performed over a 4-year interval for end-stage peripheral vascular disease. Fourteen patients (8.5%) of a total of 165 patients undergoing above-knee amputation (AKA) either suffered acute gangrenous ischemia of the AKA stump postoperatively, or were thought to be at high risk for same, and therefore underwent prophylactic inflow revascularization prior to or concomitant with AKA. The overall operative mortality rate was 28.5% in these 14 patients and was related either to inability to revascularize (two of three patients) or to the attempt to revascularize in the presence of a frankly necrotic amputation stump (three of five patients). Lower extremity amputation may be performed with an overall acceptably low mortality rate, which for our series is 0.9% for 113 below-knee amputation (BKA) and 2.8% for 140 AKA levels. Acute postoperative gangrene of the stump carries a high mortality rate and may be prevented by inflow revascularization prior to amputation. Three situations were identified as carrying a high risk for the subsequent development of gangrene: acute thrombosis of a prior combined inflow/outflow procedure, occlusion of the superficial femoral artery with an occluded/stenotic deep femoral artery and no palpable femoral pulse, and flat pulse volume recordings at the high thigh level. Patients who present for AKA with one of these indications should be considered as a candidate for prophylactic inflow revascularization prior to AKA to prevent ascending gangrene.

Acute Disease↗