Document Detail

Controversies in lower extremity amputation.
MedLine Citation:
PMID:  18399614     Owner:  NLM     Status:  MEDLINE    
Using the experience gained from taking care of World War II veterans with amputations, Ernest Burgess taught that amputation surgery is reconstructive surgery. It is the first step in the rehabilitation process for patients with an amputation and should be thought of in this way. An amputation is often a more appropriate option than limb salvage, irrespective of the underlying cause. The decision making and selection of the amputation level must be based on realistic expectations with regard to functional outcome and must be adapted to both the disease process being treated and the unique needs of the patient. Sometimes the amputation is done as a life-saving procedure in a patient who is not expected to walk, but more often it is done for a patient who should be able to return to a full, active life. When considering amputation, the physician should establish reasonable goals when confronted with the question of limb salvage versus amputation, understand the roles of the soft-tissue envelope and osseous platform in the creation of a residual limb, understand the method of weight bearing within a prosthetic socket, and determine whether a bone bridge is a positive addition to a transtibial amputation.
Michael S Pinzur; Frank Gottschalk; Marco Antonio Guedes de Souza Pinto; Douglas G Smith
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Instructional course lectures     Volume:  57     ISSN:  0065-6895     ISO Abbreviation:  Instr Course Lect     Publication Date:  2008  
Date Detail:
Created Date:  2008-04-10     Completed Date:  2008-09-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7507149     Medline TA:  Instr Course Lect     Country:  United States    
Other Details:
Languages:  eng     Pagination:  663-72     Citation Subset:  IM    
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois, USA.
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MeSH Terms
Amputation / methods*
Decision Making*
Leg Injuries / surgery*

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

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