[Transgenicular amputation with myocutaneous gastrocnemius flap in arterial occlusive disease].
41 knee disarticulations in patients with gangrene due to periphere vascular disease were performed using a myocutaneous flap of the gastrocnemius muscle as described by Klaes and Eigler in 1985. In many cases disarticulation was preceeded by reconstructive vascular procedures or amputation at a lower level. Primary healing of the stump was achieved in 80% of the cases. 29% of the patients were able to walk with the aid of a prosthesis.
Heinz
J
J
Chirurgische Abteilung, Wenckebach-Krankenhauses Berlin.
D000368:Aged; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001186:Artificial Limbs; D003925:Diabetic Angiopathies / Q000601:surgery; D004188:Disarticulation / Q000379:methods*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology; D013524:Surgical Flaps / Q000379:methods*
Die transgenikuläre Amputation mit myokutanem Gastrocnemiuslappen bei der arteriellen Verschlusskrankheit.