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Lower Extremity Amputations in At-Risk Patients: A Focus on Tissue Viability and Function in the Compromised Limb. [Review] - 2019

Available online through MWHC library: 2002 - present

Amputations distal to the ankle joint are commonly performed in efforts to preserve a limb. Thorough examination of lower extremity biomechanics, patient functional status, and patient goals must be used to help prevent reulceration and further amputation. Once infection is resolved in the acute setting, musculotendon balancing should be considered at the time of amputation closure to maintain functionality of the limb. Patients should be closely followed postoperatively and monitored for biomechanical deformity that needs to be addressed. Careful attention to detail and adherence to surgical principles can help keep patients active and prevent further amputation. Copyright (c) 2019 Elsevier Inc. All rights reserved.


English

ISSN: 0891-8422

Standard No.: 10.1016/j.cpm.2019.02.011 [doi] S0891-8422(19)30023-0 [pii]

Subjects--Topical Terms:
*Amputation
*Foot/su [Surgery]
Amputation/mt [Methods]
Foot Orthoses
Humans
Limb Salvage
Osteomyelitis/su [Surgery]
Patient Care Planning
Patient Care Team
Prognosis
Soft Tissue Infections/su [Surgery]
Tissue Survival

Subjects--Geographic Terms:
MedStar Washington Hospital Center

Index Terms--Occupation:
Surgery/Plastic Surgery
Surgery/Podiatric Surgery

Index Terms--Function:
Journal Article
Review