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Amputations below knee

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Amputations below knee

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  1. Amputations below knee

  2. Index • Introduction • Types • Equipment • Complications • Techniques • Effects • About Meddco

  3. Introduction • A below-knee amputation (“BKA”) is a transtibial amputation that involves removing the foot, ankle joint, and distal tibia and fibula with related soft tissue structures.  In general, a BKA is preferred over an above-knee amputation (AKA), as the former has better rehabilitation and functional outcomes. • The rates of lower extremity amputation have declined in recent years, but 3500 trauma-related amputations are still performed in the United States each year. • This surgical operation carries significant morbidity, yet it remains a treatment modality with vital clinical and often life-saving significance given appropriate indications.

  4. Types • Above-Knee Amputation. Your physical therapist can help you after an amputation. ... • Below-Knee Amputation. ... • Hemipelvic Amputation. ... • Toe Amputation. ... • Partial Foot Amputation. ... • Disarticulation.

  5. Equipment • A standard orthopedic operative set is essential. Also valuable to this operation is a tourniquet, fluoroscopy, large amputation blade, oscillating bone saw or manual saw, drill and bit set for performing myodesis of muscle to bone ends, silk hand ties, rongeur, and a suction drain. • The patient should be prepped and draped supine, with a bump placed under the ipsilateral hip to internally rotate the operative extremity such that the knee and ankle are vertically oriented. • A thigh tourniquet may be placed in a nonsterile fashion as high as possible above the knee to prep and expose as much of the extremity as possible, or a sterile tourniquet may be applied after the patient is draped.

  6. Complications • As with all surgical procedures, there are possible acute complications of uncontrolled bleeding, infection, and acute postoperative pain, and broader medical complications, including acute blood loss anemia and stress-induced cardiac ischemia.

  7. Technique • There are several ways to perform a BKA, one of the most significant differences being guillotine versus completed amputation. A guillotine amputation is performed quickly with the goal of controlling infection or blood loss or when completing a near-total amputation of a mangled extremity at the bedside. • This can be effective when tissue planes must demarcate over hours or days, with serial debridements taking place before closure can be performed.

  8. Effects • Your doctor removed the leg while keeping as much healthy bone, skin, blood vessel, and nerve tissue as possible. After the surgery, you will probably have bandages, a rigid dressing, or a cast over the remaining part of your leg (remaining limb). The leg may be swollen for at least 4 weeks after your surgery.

  9. About Meddco • Meddco.com is India’s first digital pricing online platform, where price transparency is the key. • Find the best packages of Amputations below knee with the most affordable charges through Meddco. • At Meddco you can easily find the doctors of all categories.

  10. Visit us at Meddco.com for more details.

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