[When is there an indication for primary femoral amputation in patients with vascular disease?].
Every patient suffering from arterial occlusive disease has to be considered a candidate for a bilateral amputation. Below-knee amputation is preferable if at all possible. Poor wound healing and reamputation at a higher level are factors to be expected in 20-30% of these patients. Therefore primary above-knee amputation is indicated only if a more distal amputation level is not possible, or if lower amputation offers no advantage to the patient. The question must be answered in each individual case.
Hepp
W
W
Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow, Standort Charlottenburg, Freie Universität Berlin.
Patschan
R
R
D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D001186:Artificial Limbs; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D011183:Postoperative Complications / Q000401:mortality
Wann besteht beim Gefässkranken die Indikation zur primären Oberschenkelamputation?