[Transarticular amputation at the knee in peripheral arterial occlusive disease. Very positive experiences after routine use of the Klaes and Eigler technique].
In a retrospective study we compare our experience with the through-knee amputation in peripheral vascular disease. In the first 15 patients we used an amputation technique with circular incision. In about 50% of these patients we observed a delayed wound healing or they needed a reamputation to a higher bony level. In the 17 following patients we used the amputation technique described by Klaes and Eigler, using a posterior myocutaneous flap to cover the condyles. Only one of these patients needed a reamputation and another had a secondary wound healing. We conclude that the technique of through-knee amputation described by Klaes and Eigler is better adapted for patients with peripheral vascular disease.
Barras
J P
JP
Chirurgische Klinik, Kantonsspital Aarau.
Flückiger
R
R
D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies
Transgenikuläre Amputation bei peripherer arterieller Verschlusskrankheit. Sehr positive Erfahrungen nach routinemässiger Anwendung der Technik nach Klaes und Eigler.