[Determining the amputation level].
The peripheral amputation level (at the knee or below the knee) is the most important factor in obtaining optimal functional results and reducing the relatively high operative mortality of above-knee amputations in patients with occlusive arterial disease. Measurement of transcutaneous oxygen tension has proved to be a helpful tool for realizing this therapeutic principle. Comparison with another group of amputees without pO2 measurement indicates that the ratio of above-knee to below-knee amputation or knee disarticulation could be changed from 2:1 to 1:4. The reduced number of above-knee amputations also resulted in decreased operative mortality (3.2% vs 11.4%).
Hamann
H
H
Abteilung für Gefäss-, Thorax- und Herzchirurgie, Universität Ulm.
Cyba-Altunbay
S
S
D000671:Amputation, Surgical / Q000379:methods*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D009336:Necrosis
Bestimmung der Amputationshöhe.