[Transgenicular amputation with special reference to partial secondary femoral condyle resection].
During the last five years 54 patients (mean age 69 years) have undergone a unilateral, transgenicular (through-knee) amputation, instead of an impending amputation through the thigh. The indication for surgery was a chronic, or an acute critical ischemia of the leg. In 32 and 22 cases respectively, amputations have been preceded by a multitude of reconstructive measures. Uncomplicated stump healing was observed in 25 of 51 survivors (49%). Disturbances in the wound healing process necessitated further amputation in 26 cases (51%). In 13 of these cases the advantage of the transgenicular amputation could be retained by a partial femoral condylectomy, whereas in the other 13 cases a thigh amputation was inavoidable. Thus, in three out of four of the survivors, a long, strong stump with a good terminal load-carrying capacity could be retained which, when supplied by a prosthesis, led to the recovery of the original walking ability in 90% of these cases.
Klinik für Thorax-, Herz- und Gefässchirurgie, Universität Bern.
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Seiler
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Stirnemann
D000368:Aged; D000671:Amputation, Surgical / Q000379:methods*; D000672:Amputation Stumps; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007719:Knee Joint / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome; D016474:Weight-Bearing / Q000502:physiology
Die transgenikuläre Amputation mit spezieller Berücksichtigung der partiellen Femurkondylennachresektion.