Amputations versus Salvage: Reconciling the Differences. [Review]

MedStar author(s):
Citation: Journal of Reconstructive Microsurgery. 37(1):32-41, 2021 Jan.PMID: 31499559Institution: MedStar Washington Hospital CenterDepartment: Surgery/Plastic SurgeryForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Amputation | *Artificial Limbs | Humans | Limb Salvage | Lower Extremity/su [Surgery] | Retrospective Studies | Treatment OutcomeYear: 2021ISSN:
  • 0743-684X
Name of journal: Journal of reconstructive microsurgeryAbstract: BACKGROUND: There are many factors to consider when choosing between amputations versus salvage in lower extremity reconstructive surgery. Postoperative functionality and survival benefit are critical factors when deciding between limb salvage and amputation.CONCLUSION: Many patient-specific factors should be considered when deciding between amputation vs. salvage in the lower extremity reconstruction population. Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.METHODS: In this review, we present the evidence and the risks and benefits between these two options in the setting of the acute, trauma population and the chronic, diabetes population.RESULTS: The trauma population is on average young without significant comorbidities and with robust vasculature and core strength for recovery. Therefore, these patients can often recover significant function with anamputation and prosthesis. Amputation can therefore be the more desirable in this patient population, especially in the case of complete traumatic disruption, unstable patients, high risk of extensive infection, and significant nerve injury. However, traumatic lower extremity reconstruction is also a viable option, especially in the case of young patients and those with intact plantar sensation and sufficient available tissue coverage. The diabetic population with lower extremity insult has on average a higher comorbidity profile and often lower core strength. These patients therefore often benefit most from reconstruction to preserve limb length and improve survival. However, amputation may be favored for diabetics that have no blood flow to the lower extremity, recalcitrant infection, high-risk comorbidities that preclude multiple operations, and those with end stage renal disease.All authors: Attinger C, Black CK, Evans KK, Fan KL, Kotha VS, Ormiston LDOriginally published: Journal of Reconstructive Microsurgery. 2019 Sep 09Fiscal year: FY2021Fiscal year of original publication: FY2020Digital Object Identifier: ORCID: Date added to catalog: 2019-10-10
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Journal Article MedStar Authors Catalog Article 31499559 Available 31499559

BACKGROUND: There are many factors to consider when choosing between amputations versus salvage in lower extremity reconstructive surgery. Postoperative functionality and survival benefit are critical factors when deciding between limb salvage and amputation.

CONCLUSION: Many patient-specific factors should be considered when deciding between amputation vs. salvage in the lower extremity reconstruction population. Copyright Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

METHODS: In this review, we present the evidence and the risks and benefits between these two options in the setting of the acute, trauma population and the chronic, diabetes population.

RESULTS: The trauma population is on average young without significant comorbidities and with robust vasculature and core strength for recovery. Therefore, these patients can often recover significant function with anamputation and prosthesis. Amputation can therefore be the more desirable in this patient population, especially in the case of complete traumatic disruption, unstable patients, high risk of extensive infection, and significant nerve injury. However, traumatic lower extremity reconstruction is also a viable option, especially in the case of young patients and those with intact plantar sensation and sufficient available tissue coverage. The diabetic population with lower extremity insult has on average a higher comorbidity profile and often lower core strength. These patients therefore often benefit most from reconstruction to preserve limb length and improve survival. However, amputation may be favored for diabetics that have no blood flow to the lower extremity, recalcitrant infection, high-risk comorbidities that preclude multiple operations, and those with end stage renal disease.

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