[Medical and surgical outcome of thigh amputation for arteritis].
Results of a minimum 4 year follow up of 87 cases of thigh amputation are discussed. Postoperative mortality was 40% and 40% of patients had survived after one year. Early mortality factors were age (mean 75 years) and the coronary lesion responsible for more than a half of postoperative deaths. Amputation stump complications were noted in 13% of cases, their onset being dependent on 3 factors: loss of femoral pulse, failure of vascular re-establishment and early amputation after this failure. The remaining limb required major amputation in 21% of cases before the end of the second year, the final major level of amputation being a factor of the lack of distal revascularization in 77% of patients.
D000367:Age Factors; D000368:Aged; D000671:Amputation, Surgical / Q000009:adverse effects / Q000401:mortality; D000672:Amputation Stumps; D001167:Arteritis / Q000150:complications / Q000601:surgery*; D003327:Coronary Disease / Q000150:complications; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000209:etiology; D008297:Male; D011379:Prognosis; D012306:Risk; D012907:Smoking; D013848:Thigh / Q000098:blood supply*; D014945:Wound Healing
Devenir médical et chirurgical des amputés de cuisse pour artérite.