Fate of the vascular patient after below-knee amputation
50 below-knee amputations were carried out in 45 patients (25 men and 20 women), mean (SD) age 73 (10.5) years. The mean survival time was 22(16) months after the operation. In each patient the healing potential of a below-knee amputation was determined preoperatively by segmental pressure studies a...
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| Veröffentlicht in: | The Lancet (British edition) 1987-09, Vol.2 (8559), p.613-615 |
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| container_title | The Lancet (British edition) |
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| creator | CUMMING, J. G. R JAIN, A. S WALKER, W. F SPENCE, V. A STEWART, C MURDOCH, G |
| description | 50 below-knee amputations were carried out in 45 patients (25 men and 20 women), mean (SD) age 73 (10.5) years. The mean survival time was 22(16) months after the operation. In each patient the healing potential of a below-knee amputation was determined preoperatively by segmental pressure studies and thermographic delineation of skin perfusion. 33 of the stumps healed by first intention, in 14 healing was delayed but occurred without the need for further surgery, and 3 stumps healed after local wedge excision. The initial mobilisation rate was 90%. Thus, there are no grounds for carrying out an initial above-knee amputation to save the patient a further operation. |
| format | Article |
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G. R ; JAIN, A. S ; WALKER, W. F ; SPENCE, V. A ; STEWART, C ; MURDOCH, G</creator><creatorcontrib>CUMMING, J. G. R ; JAIN, A. S ; WALKER, W. F ; SPENCE, V. A ; STEWART, C ; MURDOCH, G</creatorcontrib><description>50 below-knee amputations were carried out in 45 patients (25 men and 20 women), mean (SD) age 73 (10.5) years. The mean survival time was 22(16) months after the operation. In each patient the healing potential of a below-knee amputation was determined preoperatively by segmental pressure studies and thermographic delineation of skin perfusion. 33 of the stumps healed by first intention, in 14 healing was delayed but occurred without the need for further surgery, and 3 stumps healed after local wedge excision. The initial mobilisation rate was 90%. Thus, there are no grounds for carrying out an initial above-knee amputation to save the patient a further operation.</description><identifier>ISSN: 0140-6736</identifier><identifier>EISSN: 1474-547X</identifier><identifier>PMID: 2887897</identifier><identifier>CODEN: LANCAO</identifier><language>eng</language><publisher>London: Lancet</publisher><subject>Aged ; Amputation - methods ; Amputation - rehabilitation ; Biological and medical sciences ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. 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Thus, there are no grounds for carrying out an initial above-knee amputation to save the patient a further operation.</description><subject>Aged</subject><subject>Amputation - methods</subject><subject>Amputation - rehabilitation</subject><subject>Biological and medical sciences</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Humans</subject><subject>Knee</subject><subject>Leg - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Vascular Diseases - surgery</subject><issn>0140-6736</issn><issn>1474-547X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1987</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9j01LxDAURYMoYx39CUIW4q6QpkmTLGVwHGHAjYK78pK-YLVfJqniv7dgcXPf4px34Z6QrBBK5FKo11OSsUKwvFJldU4uYnxnjImKyQ3ZcK2VNiojeg8J6ehpekP6BdHNHQQ6QWpxSBR8wkAtduN3_jEgUuinOS1wHC7JmYcu4tV6t-Rlf_-8O-THp4fH3d0xn4pKpdxw6xoLYIzzmktgwvgCrBQlGu5xSQ1Wi8Y6LUrHKuC8kYWWy4NFVKrcktu_3imMnzPGVPdtdNh1MOA4x1qpSvOSi0W8XsXZ9tjUU2h7CD_1OnXhNytfVkLnAwyujf-akkwbY8pf1-Jdmg</recordid><startdate>19870912</startdate><enddate>19870912</enddate><creator>CUMMING, J. G. R</creator><creator>JAIN, A. S</creator><creator>WALKER, W. 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Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Evaluation Studies as Topic</topic><topic>Female</topic><topic>Humans</topic><topic>Knee</topic><topic>Leg - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Vascular Diseases - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>CUMMING, J. G. R</creatorcontrib><creatorcontrib>JAIN, A. S</creatorcontrib><creatorcontrib>WALKER, W. F</creatorcontrib><creatorcontrib>SPENCE, V. 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| ispartof | The Lancet (British edition), 1987-09, Vol.2 (8559), p.613-615 |
| issn | 0140-6736 1474-547X |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Aged Amputation - methods Amputation - rehabilitation Biological and medical sciences Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Evaluation Studies as Topic Female Humans Knee Leg - surgery Male Medical sciences Middle Aged Vascular Diseases - surgery |
| title | Fate of the vascular patient after below-knee amputation |
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