Amputation Menu

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      - Amputations in the Diabetic Patient
      - Above the Knee Amputation:
              - AKA prosthetics
      - Below Knee Amputation:
              - amputation following fractures of the tibia
              - pediatric BKA:
              - BKA prosthetics
                      - prosthetic feet
      - Foot and Ankle Amputation
              - Syme's Amputation
              - Transmetatarsal Amputation
              - Chopart Amputations
      - Pediatric Amputations
      - Upper Extremity Amputations:
              - amputation of the finger and hand:
              - above-elbow amputation
              - below-elbow amputation
              - upper extremity prosthetics:
              - wrist disarticulations

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- Mangled Extremity Scoring:
      - references:
            - Amputations and Artificial Limbs--Symposium: Limb Salvage Versus Amputation: Preliminary Results of the Mangled Extremity Severity Score.
            - The Severely Traumatized Lower Limb: Reconstruction versus Amputation--Symposium: Vascular Injury Associated With Fracture-Dislocations of the Lower Extremity.

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- Links:
    - Civil War Medicine

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Wound Healing and Basic Science References:
    - Outcome in 282 lower extremity amputations. Knee salvage and survival.
    - A multivariate analysis of determinants of wound healing in patients after amputation for peripheral vascular disease.
    - The role of non-invasive vascular studies in determining levels of amputation.
    - The role of non-invasive vascular studies in determining levels of amputation.
    - Doppler-determined segmental pressures and wound-healing in amputations for vascular disease.
    - Prediction of amputation wound healing. Roles of Doppler ultrasound and digit photoplethysmography.
    - The blood supply to the skin of the leg: a post-mortem investigation.
    - The assessment of skin viability using fluorescein angiography prior to amputation.
    - Transcutaneous oxygen and carbon dioxide pressure monitoring to determine severity of limb ischemia and to predict surgical outcome.
    - Prospective comparison of noninvasive techniques for amputation level selection.
    - Muscle blood flow after amputation with special reference to the influence of the amputation level. Assessed by 133 xenon and histamine. An animal experiment.
    - Segmental transcutaneous measurements of PO2 in patients requiring below-the-knee amputation for peripheral vascular insufficiency.
    - The assessment of skin viability using fluorescein angiography prior to amputation.
    - Predictive value of distal perfusion pressure in the healing of amputation of the digits and the forefoot.
    - Transcutaneous oxygen tension measurement in peripheral vascular disease.
    - Oxygen-derived free radicals in postischemic tissue injury.
    - Arterial systolic pressures in critical ischemia.
    - Dry ice cryoamputation: a twelve-year experience.
    - Improvement of amputation level by lower extremity revascularization.
    - Level selection in leg amputation for arterial occlusive disease: a comparison of clinical evaluation and skin perfusion pressure.
    - Salvage of a functional lower limb in diabetic patients after amputation.   Jacobs RL. Instructional Course Lectures. 42:159-67, 1993.
    - Surgical techniques for conserving tissue and function in lower-limb amputation for trauma, infection, and vascular disease.
    - Risk factors for failed healing in amputation for vascular disease. A prospective, consecutive study of 177 cases.
    - Improvement of amputation level by lower extremity revascularization.

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- Reduction of Infection in Amputations:
    - Prophylactic antibiotics in amputation of the lower extremity for ischemia. A placebo-controlled, randomized trial of cefoxitin.
    - Reduction in amputation stump infection by antiseptic pre-operative preparation.
    - Prophylactic antibiotics in amputation of the lower extremity for ischemia. A placebo-controlled, randomized trial of cefoxitin.
    - Lower extremity amputation: open versus closed.
    - Short-term cefotaxime prophylaxis reduces the failure rate in lower limb amputations [published erratum appears in Acta Orthop Scand 1991 Oct;62(5):509.

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- Innovative Ideas and Techniques:
      - A new operation for the prevention and treatment of amputation neuromas.
      - A new technique of open amputation: use of the rolled flap.
      - A 50-cm fillet flap for preservation of maximal lower extremity residual limb length.
      - Heterotopic Ossification Following Traumatic and Combat-Related Amputations