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

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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
Publication statusPublished - 1993

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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.