Patients in need for major lower extremity amputations are a challenge

Major lower extremity amputations based on end-stage chronic leg ischaemia or diabetic ulcers with infection are relatively common orthopaedic procedures. Patients are usually evaluated for the possibility of lower extremity revascularisation. Those who are not fit for vascular surgery are transferr...

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Bibliographic Details
Published inUgeskrift for læger Vol. 177; no. 25
Main Authors Wied, Christian, Kristensen, Morten Tange, Tengberg, Peter Toft, Holm, Gitte, Krasheninnikoff, Michael, Troelsen, Anders
Format Journal Article
LanguageDanish
Published Denmark 15.06.2015
Subjects
Amputation - mortality
Amputation - standards
Comorbidity
Diabetic Foot - complications
Humans
Ischemia - complications
Lower Extremity - blood supply
Lower Extremity - pathology
Lower Extremity - surgery
Pain Management
Perioperative Care
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Summary:Major lower extremity amputations based on end-stage chronic leg ischaemia or diabetic ulcers with infection are relatively common orthopaedic procedures. Patients are usually evaluated for the possibility of lower extremity revascularisation. Those who are not fit for vascular surgery are transferred to an orthopaedic department for amputation. These patients are a big challenge as they are by definition multi-morbid individuals, who have to undergo major surgery. The high mortality rate in this population warrants new approaches, including optimised multidisciplinary regimes.
ISSN:1603-6824