Document Detail


Bypass versus primary major amputation in patients with femoropopliteal distal disease and a threatened limb.
MedLine Citation:
PMID:  6239398     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Over a 36-month period 201 patients came to the Vascular Service, King Edward VIII Hospital, with atherosclerotic occlusive disease involving the femoropopliteal or femoro-infrapopliteal segments. On the basis of angiographic and clinical assessment 113 patients underwent bypass procedures and in 88 amputation was performed. The two groups were well matched as regards age and clinical condition. In-hospital mortality was 3,5% and 2,3% in the bypass and amputation groups respectively and the time spent in hospital was 5-6 weeks. In the longer term the desired achievement was limb salvage or ambulation on a prosthesis. Cumulative life-table analysis showed that more patients in the limb-salvage group than amputees were ambulant over any given time interval, although at 36 months after operation there was only an 8-10% difference. The results suggest that it is worth while attempting limb salvage in these cases, certainly as far as the first 3 years after operation are concerned.
Authors:
J V Robbs; R R Human; P Rajaruthnam
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde     Volume:  66     ISSN:  0038-2469     ISO Abbreviation:  S. Afr. Med. J.     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1984-12-27     Completed Date:  1984-12-27     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  0404520     Medline TA:  S Afr Med J     Country:  SOUTH AFRICA    
Other Details:
Languages:  eng     Pagination:  809-12     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Amputation* / rehabilitation
Arteriosclerosis / rehabilitation,  surgery*
Blood Vessel Prosthesis
Femoral Artery* / surgery
Humans
Middle Aged
Polyethylene Terephthalates
Polytetrafluoroethylene
Popliteal Artery* / surgery
Postoperative Complications
Risk
Chemical
Reg. No./Substance:
0/Polyethylene Terephthalates; 9002-84-0/Polytetrafluoroethylene

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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