For a patient unlikely to ambulate, a through-knee amputation maximizes ease of transfers, promotes mobility by providing a better counterbalance, and eliminates the potential for knee flexion contracture with subsequent distal stump skin breakdown.

2024年11月25日 · The techniques for major amputation and foot amputations are reviewed here. The indications for lower extremity amputation, preoperative and postoperative care, complications, and outcomes are reviewed separately.

For patient unlikely to ambulate, a through-knee amputation maximizes ease of transfers, promotes mobility by providing a counterbalance, and eliminates the potential for knee flexion contracture with subsequent skin breakdown.

Introduction Interest in the through-knee (TK) amputation was created during a visit to the headquarters of Col. Maurice Fletcher at the Walter Reed Hospital in Washington DC in 1953, where they were considering a combination with quadricepscine-plasty.

2022年9月11日 · Through-knee amputation (TKA) carries potential biomechanical advantages over above knee amputation (AKA) in patients unsuitable for a below-knee amputation. However, concerns regarding prosthetic fit, cosmesis and wound healing have …

Lower limb amputation is a major, life-changing procedure associated with high levels of morbidity and mortality. The care surrounding an amputation requires a thoroughly planned MDT approach, with careful consideration of pre-operative medical, surgical and functional optimization.

2021年11月29日 · These articles detailed three through-knee amputation surgical techniques: the classical approach, which keeps the femur intact and retains the patella; the Mazet technique, which shaves the femoral condyles into a box shape and the Gritti-Stokes technique, which divides the femur proximal to the level of the condyles and attaches the patella ...

A novel descriptive system for describing different techniques for performing a TKA has been developed. This classification system will help in reporting, comparing, and interpreting past and future studies of patients undergoing TKA.

2023年8月21日 · thru-knee amputation varies based on patient habitus but is somewhere between transtibial and transfemoral most proximal amputation level available in children to maintain walking speeds without increased energy expenditure compared to normal children

2023年9月6日 · Transcondylar amputation techniques such as those described by Mazet, involve enucleating the patella and resecting the femoral condyles to give a box shaped residuum.