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

49 Scopus citations

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 - Jan 1 1993

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Fingerprint Dive into the research topics of 'Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review'. Together they form a unique fingerprint.

  • Cite this

    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. (1993). Functional outcome of below-knee amputation in peripheral vascular insufficiency: A multicenter review. Clinical orthopaedics and related research, (286), 247-249.