Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review

M. S. Pinzur, F. Gottschalk, D. Smith, S. Shanfield, R. De Andrade, H. Osterman, J. R. Roberts, P. Orlando-Crombleholme, J. Larsen, P. Rappazzini, P. Bockelman

Research output: Contribution to journalArticle

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Abstract

A retrospective functional outcome study was performed on 299 patients treated with below-knee amputations for peripheral vascular disease during a three-year period in six Veterans Administration special amputee centers. Sixty-one percent of the patients were diabetic, and 25% were previously unilateral amputees. Surgery was performed with a long posterior flap in 92.3%, sagittal flaps in 20%, and guillotine open technique in 5.7%. Wound management was accomplished with rigid plaster dressings in 75.3%, pneumatic compression dressing in 14%, and soft dressings in 10.7%. At follow-up evaluation one to two years later, 36.1% had died. Thirteen percent suffered wound complications, with 6.7% requiring revision to a more proximal amputation level. Eighty-seven percent of community ambulators maintained their ambulatory status. A comparable percentage maintained their ability to walk with a prosthesis.

Original languageEnglish (US)
Pages (from-to)247-249
Number of pages3
JournalClinical Orthopaedics and Related Research
Issue number286
StatePublished - 1993

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Bandages
Amputation
Blood Vessels
Amputees
Knee
United States Department of Veterans Affairs
Peripheral Vascular Diseases
Wounds and Injuries
Prostheses and Implants
Outcome Assessment (Health Care)

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Pinzur, M. S., Gottschalk, F., Smith, D., Shanfield, S., De Andrade, R., Osterman, H., ... Bockelman, P. (1993). Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review. Clinical Orthopaedics and Related Research, (286), 247-249.

Functional outcome of below-knee amputation in peripheral vascular insufficiency : A multicenter review. / Pinzur, M. S.; Gottschalk, F.; Smith, D.; Shanfield, S.; De Andrade, R.; Osterman, H.; Roberts, J. R.; Orlando-Crombleholme, P.; Larsen, J.; Rappazzini, P.; Bockelman, P.

In: Clinical Orthopaedics and Related Research, No. 286, 1993, p. 247-249.

Research output: Contribution to journalArticle

Pinzur, MS, Gottschalk, F, Smith, D, Shanfield, S, De Andrade, R, Osterman, H, Roberts, JR, Orlando-Crombleholme, P, Larsen, J, Rappazzini, P & Bockelman, P 1993, 'Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review', Clinical Orthopaedics and Related Research, no. 286, pp. 247-249.
Pinzur MS, Gottschalk F, Smith D, Shanfield S, De Andrade R, Osterman H et al. Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review. Clinical Orthopaedics and Related Research. 1993;(286):247-249.
Pinzur, M. S. ; Gottschalk, F. ; Smith, D. ; Shanfield, S. ; De Andrade, R. ; Osterman, H. ; Roberts, J. R. ; Orlando-Crombleholme, P. ; Larsen, J. ; Rappazzini, P. ; Bockelman, P. / Functional outcome of below-knee amputation in peripheral vascular insufficiency : A multicenter review. In: Clinical Orthopaedics and Related Research. 1993 ; No. 286. pp. 247-249.
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