[When is primary amputation of the upper leg indicated?].
Every patient suffering from arterial occlusive disease has to be considered a candidate for a bilateral amputation. Infragenual 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
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Chirurgische Klinik und Poliklinik, Universitätsklinikum Rudolf Virchow-Charlottenburg, Freien Universität Berlin.
D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps / Q000098:blood supply; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D005269:Femur / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D014945:Wound Healing / Q000502:physiology
Wann ist die primäre Oberschenkelamputation indiziert?