title: [Patients in need for major lower extremity amputations are a challenge].
abstract: Major lower extremity amputations based on end-stage chronic leg ischaemia or diabetic ulcers with infection are relatively common orthopaedic procedures. Patients are usually evaluated for the possibility of lower extremity revascularisation. Those who are not fit for vascular surgery are transferred to an orthopaedic department for amputation. These patients are a big challenge as they are by definition multi-morbid individuals, who have to undergo major surgery. The high mortality rate in this population warrants new approaches, including optimised multidisciplinary regimes.
authors.affiliation: Ortopædkirurgisk Afdeling, Hvidovre Hospital, Kettegaard Allé 30, 2650 Hvidovre. chr.wied@gmail.com.
authors.forename: Christian
authors.initials: C
authors.lastname: Wied
authors.forename: Morten Tange
authors.initials: MT
authors.lastname: Kristensen
authors.forename: Peter Toft
authors.initials: PT
authors.lastname: Tengberg
authors.forename: Gitte
authors.initials: G
authors.lastname: Holm
authors.forename: Michael
authors.initials: M
authors.lastname: Krasheninnikoff
authors.forename: Anders
authors.initials: A
authors.lastname: Troelsen
mesh_terms: D000671:Amputation, Surgical / Q000401:mortality / Q000592:standards; D015897:Comorbidity; D017719:Diabetic Foot / Q000150:complications; D006801:Humans; D007511:Ischemia / Q000150:complications; D035002:Lower Extremity / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D059408:Pain Management; D019990:Perioperative Care