Through-Knee Amputation in Peripheral Vascular Disease

Howard, Ryan; Chamberlain, John A.; Macpherson, Allan

doi:10.1016/s0140-6736(69)90007-5

Cited by 19 publications

(7 citation statements)

References 4 publications

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“…The level of amputation was determined by the skin perfusion blood pressure in the present series (Holstein e t al, 1979 a, b;Holstein, 1980), although a few amputations were performed in spite of unacceptably low pressures in bilaterally threatened limbs and a number of amputations performed as life saving procedures without further investigations. The re-amputation rate following TK or BK amputations was fairly consistent with recent reports (Christensen 1976, Hopkins & Hams 1965, Howard et al 1969, Newcombe & Marcuson 1972, Warren & Kihn 1968), but somewhat lower than others (Chilvers et al, 1971, Hierton & James 1973, Lindholm 1964). It is, however, most interesting to experience that failure after BK amputations in the majority of cases leads to re-amputation at AK level.…”

Section: Discussionsupporting

confidence: 88%

“…It is, however, most interesting to experience that failure after BK amputations in the majority of cases leads to re-amputation at AK level. The TK level is thus lost, which is decisive considering the high success rate of prosthetic fitting following TK amputations (Chilvers et al, 1971;Hopkins & Harris, 1965;Howard et al, 1969;Newcombe & Marcuson 1972).…”

Section: Discussionmentioning

confidence: 99%

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Wound healing complications following major amputations of the lower limb

Jensen

Mandrup-Poulsen

Krasnik

1982

Prosthetics &Amp; Orthotics International

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A series of 320 amputations was analyzed with regard to wound healing complications and re-amputation rates. Among 111 AK amputations complications in wound healing were encountered in 14 per cent (15/111) of the cases, leading to re-amputation in 2 per cent (2/111). TK amputations were followed by wound healing problems in 30 per cent (20/66) of the cases with re-amputation in 20 per cent (13/66) at AK level, as compared to 40 per cent (57/143) with wound healing complications and 20 per cent (28/143) re-amputations in BK-amputees. As failure of BK amputation leads to re-amputation at AK level it is recommended that the TK level be selected in doubtful cases.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Wound healing complications following major amputations of the lower limb

Jensen

Mandrup-Poulsen

Krasnik

1982

Prosthetics &Amp; Orthotics International

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“…I n the series as a whole the mortality at the end of the fourth postoperative week was 10 out of 41 patients (23 per cent), which at first sight would appear to be unacceptably high. Howard, Chamberlain, and Macpherson (1969) reported a mortality of 14 per cent in their series of through-knee amputations. Martin and others (1967) had a mortality of only 6 per cent in their series of 237 Stokes-Gritti amputations.…”

Section: Analysis Of Resultsmentioning

confidence: 99%

Through-knee amputation

Newcombe

Marcuson

1972

Journal of British Surgery

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SUMMARYForty-three through-knee disarticulation amputations in 41 patients are reviewed. I n 11 patients the procedure was entirely palliative, and 8 of these died within I month of operation. Of the 30 patients for whom a prosthesis was planned, only 2 died within this period. Ten patients were measured for a walking pylon preoperatively. The value of premeasurement is demonstrated by the speed of rehabilitation which was achieved by this group. The time scale of rehabilitation was much longer in those patients who were measured for their prostheses postoperatively. However, other adverse factors were present in this group, and their importance is discussed. Despite these factors, a very high rate of ultimate rehabilitation was obtained. Healing was obtained in 83 per cent of the entire series. The results indicate that the through-knee amputation is excellent for the elderly patient with atherosclerotic gangrene of the foot. The importance of an active programme of walking training in this advanced age-group is particularly stressed.

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“…The operative mortality in this series was 11 per cent, while others report mortality rates varying from 5 to 8 per cent (Middleton and Webster, 1962;Lishman, 1965;Martin et al, 1967). The mortality rate for through-knee amputations is around 14 per cent (Howard et al, 1969) and for below-knee is 10 per cent (Warren and Kihn, 1968), while the midthigh amputation carries a higher mortality in most recorded series: 22 per cent (Gilchrist, 1961); 24 per cent (Ham et al, 1964); 42 per cent (Otteman and Stahlgren, 1965); 9 per cent (Hall and Shucksmith, 1971); 37 per cent (Harris et al, 1974).…”

Section: Discussionmentioning

confidence: 99%

The Gritti–Stokes amputation in ischaemia: A review of 134 cases

Doran

Hopkinson

Makin

1978

Journal of British Surgery

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The results of 134 Gritti-Stokes amputations for ischaemia are presented. The mortality rate was 11% and healing occurred in 88%, reaffirming the good results already reported for this operation. The long term results are reviewed in an attempt to decide whether the most frequently cited criticisms of this procedure are justified. Stump pain and mobility of the patella were not major problems. The difficulties in fitting a suitable prosthesis are discussed and attention is drawn to the advantages of a new prosthesis that has been developed for this amputation.

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Through-Knee Amputation in Peripheral Vascular Disease

Cited by 19 publications

References 4 publications

Wound healing complications following major amputations of the lower limb

Wound healing complications following major amputations of the lower limb

Through-knee amputation

The Gritti–Stokes amputation in ischaemia: A review of 134 cases

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