TY - BOOK AU - Attinger, Christopher AU - Ragothaman, Kevin AU - Steinberg, John S AU - Walters, Elliot TI - Lower Extremity Amputations in At-Risk Patients: A Focus on Tissue Viability and Function in the Compromised Limb. [Review] SN - 0891-8422 PY - 2019/// KW - *Amputation KW - *Foot/su [Surgery] KW - Amputation/mt [Methods] KW - Foot Orthoses KW - Humans KW - Limb Salvage KW - Osteomyelitis/su [Surgery] KW - Patient Care Planning KW - Patient Care Team KW - Prognosis KW - Soft Tissue Infections/su [Surgery] KW - Tissue Survival KW - MedStar Washington Hospital Center KW - Surgery/Plastic Surgery KW - Surgery/Podiatric Surgery KW - Journal Article KW - Review N1 - Available online through MWHC library: 2002 - present N2 - 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 UR - https://dx.doi.org/10.1016/j.cpm.2019.02.011 ER -