title: Below-knee amputations for vascular insufficiency.
abstract: In the case of below-knee amputations for vascular insufficiency, divisions of the tibia and fibula in the proximal one-third followed by coverage by a long posterior soft tissue flap gives the best results. Emphasis must be placed on sharp division of structures, perfect hemostasis, and accurate skin approximation. The use of suction drainage and gentle compression dressing is demonstrated.
mesh_terms: D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps; D001458:Bandages; D004322:Drainage; D005360:Fibula; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply / Q000601:surgery*; D011182:Postoperative Care; D013977:Tibia