PMID: 3756431Sep 1, 1986Paper

Changing pattern of lower limb amputation for vascular disease

The British Journal of Surgery
K K SethiaP J Morris

Abstract

In 1980 a review of lower limb amputation over a 3.5 year period between 1974 and 1978 was reported from our centre. More recently 193 amputations were performed for peripheral vascular disease over a similar 3.5 year period, representing an increase of 33 per cent in the amputation rate during the last 6 years. This cannot be explained by the increasing age of the population alone. Fewer below-knee amputations (BKA) (33.0 per cent) and more Gritti-Strokes amputations (GSA) (32.0 per cent) were performed and the overall incidence of re-amputation for stump breakdown was 13.5 per cent. Twenty-eight per cent of below-knee amputation stumps required re-amputation at higher levels, but when successful were associated with a 75 per cent incidence of rehabilitation with an artificial limb. Eight per cent of GSA stumps required re-amputation and were associated with a twenty-eight per cent incidence of successful rehabilitation. Thirty-seven per cent of patients had undergone reconstructive vascular surgery before amputation. Of the 26 patients requiring re-amputation 58 per cent had undergone arterial reconstruction in an attempt to salvage the limb (chi 2 = 5.65, P less than 0.02) and in 26.9 per cent of cases this was performed wit...Continue Reading

References

Apr 1, 1972·The British Journal of Surgery·J F Newcombe, R W Marcuson
Aug 1, 1974·The British Journal of Surgery·P L HarrisR A Sellwood
Aug 1, 1969·The British Journal of Surgery·F E Weale
Apr 1, 1983·Acta Orthopaedica Scandinavica·E Liedberg, B M Persson
Apr 1, 1980·The British Journal of Surgery·D R FinchP J Morris

❮ Previous
Next ❯

Citations

Jan 1, 1997·Surgery Today·M AftabuddinI Haque
Apr 19, 2005·Annales de réadaptation et de médecine physique : revue scientifique de la Société française de rééducation fonctionnelle de réadaptation et de médecine physique·L CazabonV Dulieu
Dec 1, 1991·European Journal of Vascular Surgery·S SarinP D Smith
Jan 1, 1995·Diabetic Medicine : a Journal of the British Diabetic Association
Dec 29, 2013·Annals of Vascular Surgery·Rachel BarnesIan Chetter
Jul 1, 1989·International Disability Studies·J P DuranceT W Stroud
Jan 1, 1990·International Disability Studies·L E Jones
May 1, 1996·Surgery·R J ValentineG P Clagett
Feb 1, 1989·European Journal of Vascular Surgery·J D BeardM Horrocks
Mar 1, 1992·European Journal of Vascular Surgery·J A BrennanP R Bell
Mar 1, 1991·Annals of Vascular Surgery·R D De FrangJ M Porter
Jan 1, 1994·European Journal of Vascular Surgery·A E PedersenP Holstein
Jun 28, 2005·Clinics in Podiatric Medicine and Surgery·Robert W ZicklerPeter J Pappas
Aug 1, 1990·Journal of the American Geriatrics Society·G N WeissL A Neal
Mar 11, 1999·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L B EbskovP Holstein
Nov 1, 1992·European Journal of Vascular Surgery·T A CookR N Baird
May 1, 1997·Clinical Rehabilitation·H F PernotJ Cluitmans
Jul 1, 1995·Foot & Ankle International·J ApelqvistU Persson
Jan 29, 2014·Prosthetics and Orthotics International·Beth LinehamPeter Giannoudis
Feb 1, 1988·The British Journal of Surgery·D McWhinnie, J Murie
May 1, 1991·The British Journal of Surgery·J D Holdsworth
Dec 1, 1991·The British Journal of Surgery·G M TsangM H Simms
Aug 1, 1995·The British Journal of Surgery·C Collin, J Collin
Nov 1, 1994·The British Journal of Surgery·D L McWhinnieJ D Morrison
Nov 1, 1994·The British Journal of Surgery·L B EbskovP E Holstein
Feb 1, 1987·The British Journal of Surgery·W B CampbellP J Morris
Mar 1, 1989·The British Journal of Surgery·A KaldE Nilsson
Aug 1, 1990·Prosthetics and Orthotics International·N C Fyfe
Apr 1, 1993·Prosthetics and Orthotics International·C P Stewart, A S Jain
Apr 1, 1989·Prosthetics and Orthotics International·M Parry, J D Morrison
Jul 13, 2000·Prosthetics and Orthotics International·M Eneroth
Dec 1, 1995·Prosthetics and Orthotics International·H AlarantaM Kärkkäinen
Apr 1, 1993·Prosthetics and Orthotics International·H NagashimaH Takechi

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.