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...
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Veröffentlicht in: | The Journal of foot and ankle surgery 2020-07, Vol.59 (4), p.869-872 |
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container_title | The Journal of foot and ankle surgery |
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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 |
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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> |
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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 |
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