| Controversies in lower extremity amputation. | |
| | |
MedLine Citation:
|
PMID: 18399614 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Michael S Pinzur; Frank Gottschalk; Marco Antonio Guedes de Souza Pinto; Douglas G Smith |
Related Documents
:
|
18466814 - Major lower extremity amputation after multiple revascularizations: was it worth it? 3243984 - Application of transcutaneous oxymetry in vascular surgery. 1491954 - Psychological factors leading to amputations in adults. 684474 - Freezing an extremity in preparation for amputation. 18323704 - Differences in the histopathology and matrix metalloproteinase expression in tenon's ti... 16843904 - An evaluation of insulin-like growth factor-1 as an indicator of nutritional status. |
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 |
Affiliation:
|
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, Illinois, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Amputation
/
methods* Decision Making* Humans Leg Injuries / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Venous thromboembolic disease after total hip and knee arthroplasty: current perspectives in a regul...
Next Document: Malignant bone tumors.