title: Surgical results of leg amputation according to Ghormley's technique in the treatment of chronic lower limb ischaemia.
abstract: The authors present their experience in the treatment of chronic lower limb ischaemia resulting from atherosclerosis by below knee amputation according to Ghormley's technique, with the immediate application of a semi-rigid plaster cast and early rehabilitation. From a group of 664 patients requiring major amputations, 61 patients (52 men) aged 64 +/- 11 fulfilled the criteria for unilateral below-knee amputation for critical limb ischaemia for atherosclerosis consequences. Peri-operative (30-days) mortality was of 3.28%. Stump healing was very good or good (no need for further surgery) in over 2/3 of patients, but in 20% the need for above-knee amputation developed. Postoperative knee contracture (defined as 15 degrees or more limitation to the movement range) was observed in 11.5% of patients.
authors.affiliation: The Professor M. Weiss Memorial Center for Rehabilitation and Treatment of Musculoskeletal Diseases and Trauma, Konstancin, Poland.
authors.forename: K
authors.initials: K
authors.lastname: Wasiak
authors.forename: P M
authors.initials: PM
authors.lastname: Paczkowski
authors.forename: J M
authors.initials: JM
authors.lastname: Garlicki
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods*; D050197:Atherosclerosis / Q000601:surgery*; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome