Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique

The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or “guillotine” amputations are often used as the first-stage amputation. Disarticulation at the ankle joint i...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:The Journal of foot and ankle surgery 2020-07, Vol.59 (4), p.869-872
Hauptverfasser: Carroll, Paul J., Ragothaman, Kevin, Mayer, Alissa, Kennedy, Christopher J., Attinger, Christopher E., Steinberg, John S.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 872
container_issue 4
container_start_page 869
container_title The Journal of foot and ankle surgery
container_volume 59
creator Carroll, Paul J.
Ragothaman, Kevin
Mayer, Alissa
Kennedy, Christopher J.
Attinger, Christopher E.
Steinberg, John S.
description The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or “guillotine” amputations are often used as the first-stage amputation. Disarticulation at the ankle joint is an alternative method that can be used with favorable results and benefits. These include rapid infection decompression while minimizing the blood loss of traditional tibial osteotomy. Here we describe our operative technique, perioperative management, and indications for this surgical procedure.
doi_str_mv 10.1053/j.jfas.2019.10.009
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2419086397</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1067251619304016</els_id><sourcerecordid>2419086397</sourcerecordid><originalsourceid>FETCH-LOGICAL-c248t-e7f527c577070c86d39a3bd18069a6b11b55a1f12278fec71ebcc722e6796fdc3</originalsourceid><addsrcrecordid>eNp9kLtOwzAUhiMEEqXwAkweWRJs5-IEsYRyFZUY2s6W45y0DqlTbAcEEw_BE_IkuJSZ6Rz9-v9z-YLglOCI4DQ-b6O2ETaimBReiDAu9oIRSRMaUkqTfd_jjIU0JdlhcGRtizGlRZ6OgqHUzx2ga2WFcUoOnXCq1xeo1GihazCDU536gBqVm43phVwh16OZE0svXUHXv6FHDYDK9WZwv9Hvz6-JsIBmYBRYJHSNZoNZKik6NAe50uplgOPgoBGdhZO_Og4WtzfzyX04fbp7mJTTUNIkdyGwJqVMpoxhhmWe1XEh4qomOc4KkVWEVGkqSEMoZXkDkhGopGSUQsaKrKllPA7OdnP97X6tdXytrISuExr6wXKakALnWVwwb6U7qzS9tQYavjFqLcw7J5hvGfOWbxnzLeOt5hn70OUuBP6JVwWGW6lAS6iVAel43av_4j8k5odb</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2419086397</pqid></control><display><type>article</type><title>Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique</title><source>Elsevier ScienceDirect Journals Complete</source><creator>Carroll, Paul J. ; Ragothaman, Kevin ; Mayer, Alissa ; Kennedy, Christopher J. ; Attinger, Christopher E. ; Steinberg, John S.</creator><creatorcontrib>Carroll, Paul J. ; Ragothaman, Kevin ; Mayer, Alissa ; Kennedy, Christopher J. ; Attinger, Christopher E. ; Steinberg, John S.</creatorcontrib><description>The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or “guillotine” amputations are often used as the first-stage amputation. Disarticulation at the ankle joint is an alternative method that can be used with favorable results and benefits. These include rapid infection decompression while minimizing the blood loss of traditional tibial osteotomy. Here we describe our operative technique, perioperative management, and indications for this surgical procedure.</description><identifier>ISSN: 1067-2516</identifier><identifier>EISSN: 1542-2224</identifier><identifier>DOI: 10.1053/j.jfas.2019.10.009</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Charcot ; drainage ; emergent ; gas gangrene ; necrosis ; peripheral vascular disease ; salvage ; sepsis</subject><ispartof>The Journal of foot and ankle surgery, 2020-07, Vol.59 (4), p.869-872</ispartof><rights>2019 the American College of Foot and Ankle Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c248t-e7f527c577070c86d39a3bd18069a6b11b55a1f12278fec71ebcc722e6796fdc3</citedby><cites>FETCH-LOGICAL-c248t-e7f527c577070c86d39a3bd18069a6b11b55a1f12278fec71ebcc722e6796fdc3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1053/j.jfas.2019.10.009$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids></links><search><creatorcontrib>Carroll, Paul J.</creatorcontrib><creatorcontrib>Ragothaman, Kevin</creatorcontrib><creatorcontrib>Mayer, Alissa</creatorcontrib><creatorcontrib>Kennedy, Christopher J.</creatorcontrib><creatorcontrib>Attinger, Christopher E.</creatorcontrib><creatorcontrib>Steinberg, John S.</creatorcontrib><title>Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique</title><title>The Journal of foot and ankle surgery</title><description>The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or “guillotine” amputations are often used as the first-stage amputation. Disarticulation at the ankle joint is an alternative method that can be used with favorable results and benefits. These include rapid infection decompression while minimizing the blood loss of traditional tibial osteotomy. Here we describe our operative technique, perioperative management, and indications for this surgical procedure.</description><subject>Charcot</subject><subject>drainage</subject><subject>emergent</subject><subject>gas gangrene</subject><subject>necrosis</subject><subject>peripheral vascular disease</subject><subject>salvage</subject><subject>sepsis</subject><issn>1067-2516</issn><issn>1542-2224</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kLtOwzAUhiMEEqXwAkweWRJs5-IEsYRyFZUY2s6W45y0DqlTbAcEEw_BE_IkuJSZ6Rz9-v9z-YLglOCI4DQ-b6O2ETaimBReiDAu9oIRSRMaUkqTfd_jjIU0JdlhcGRtizGlRZ6OgqHUzx2ga2WFcUoOnXCq1xeo1GihazCDU536gBqVm43phVwh16OZE0svXUHXv6FHDYDK9WZwv9Hvz6-JsIBmYBRYJHSNZoNZKik6NAe50uplgOPgoBGdhZO_Og4WtzfzyX04fbp7mJTTUNIkdyGwJqVMpoxhhmWe1XEh4qomOc4KkVWEVGkqSEMoZXkDkhGopGSUQsaKrKllPA7OdnP97X6tdXytrISuExr6wXKakALnWVwwb6U7qzS9tQYavjFqLcw7J5hvGfOWbxnzLeOt5hn70OUuBP6JVwWGW6lAS6iVAel43av_4j8k5odb</recordid><startdate>202007</startdate><enddate>202007</enddate><creator>Carroll, Paul J.</creator><creator>Ragothaman, Kevin</creator><creator>Mayer, Alissa</creator><creator>Kennedy, Christopher J.</creator><creator>Attinger, Christopher E.</creator><creator>Steinberg, John S.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202007</creationdate><title>Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique</title><author>Carroll, Paul J. ; Ragothaman, Kevin ; Mayer, Alissa ; Kennedy, Christopher J. ; Attinger, Christopher E. ; Steinberg, John S.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c248t-e7f527c577070c86d39a3bd18069a6b11b55a1f12278fec71ebcc722e6796fdc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Charcot</topic><topic>drainage</topic><topic>emergent</topic><topic>gas gangrene</topic><topic>necrosis</topic><topic>peripheral vascular disease</topic><topic>salvage</topic><topic>sepsis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Carroll, Paul J.</creatorcontrib><creatorcontrib>Ragothaman, Kevin</creatorcontrib><creatorcontrib>Mayer, Alissa</creatorcontrib><creatorcontrib>Kennedy, Christopher J.</creatorcontrib><creatorcontrib>Attinger, Christopher E.</creatorcontrib><creatorcontrib>Steinberg, John S.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of foot and ankle surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Carroll, Paul J.</au><au>Ragothaman, Kevin</au><au>Mayer, Alissa</au><au>Kennedy, Christopher J.</au><au>Attinger, Christopher E.</au><au>Steinberg, John S.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique</atitle><jtitle>The Journal of foot and ankle surgery</jtitle><date>2020-07</date><risdate>2020</risdate><volume>59</volume><issue>4</issue><spage>869</spage><epage>872</epage><pages>869-872</pages><issn>1067-2516</issn><eissn>1542-2224</eissn><abstract>The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or “guillotine” amputations are often used as the first-stage amputation. Disarticulation at the ankle joint is an alternative method that can be used with favorable results and benefits. These include rapid infection decompression while minimizing the blood loss of traditional tibial osteotomy. Here we describe our operative technique, perioperative management, and indications for this surgical procedure.</abstract><pub>Elsevier Inc</pub><doi>10.1053/j.jfas.2019.10.009</doi><tpages>4</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1067-2516
ispartof The Journal of foot and ankle surgery, 2020-07, Vol.59 (4), p.869-872
issn 1067-2516
1542-2224
language eng
recordid cdi_proquest_miscellaneous_2419086397
source Elsevier ScienceDirect Journals Complete
subjects Charcot
drainage
emergent
gas gangrene
necrosis
peripheral vascular disease
salvage
sepsis
title Ankle Disarticulation: An Underutilized Approach to Staged Below Knee Amputation—Case Series and Surgical Technique
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-04T22%3A52%3A03IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Ankle%20Disarticulation:%20An%20Underutilized%20Approach%20to%20Staged%20Below%20Knee%20Amputation%E2%80%94Case%20Series%20and%20Surgical%20Technique&rft.jtitle=The%20Journal%20of%20foot%20and%20ankle%20surgery&rft.au=Carroll,%20Paul%20J.&rft.date=2020-07&rft.volume=59&rft.issue=4&rft.spage=869&rft.epage=872&rft.pages=869-872&rft.issn=1067-2516&rft.eissn=1542-2224&rft_id=info:doi/10.1053/j.jfas.2019.10.009&rft_dat=%3Cproquest_cross%3E2419086397%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2419086397&rft_id=info:pmid/&rft_els_id=S1067251619304016&rfr_iscdi=true