• Br J Surg · Dec 1988

    Amputation for peripheral vascular disease: the case for level selection.

    • P T McCollum, V A Spence, and W F Walker.
    • Department of Vascular Surgery, Ninewells Hospital, Dundee, UK.
    • Br J Surg. 1988 Dec 1; 75 (12): 119311951193-5.

    AbstractOne hundred major lower limb amputations were performed for end stage peripheral vascular disease over a 15-month period. Selection of amputation level was made on the basis of laboratory criteria using skin blood flow and infrared thermography data. Eighty-one amputations were performed at the below-knee level with six failures. This resulted in a final below-knee: above-knee amputation ratio of 3:1. It is clear that there are still many centres in the UK where above-knee amputation is the accepted operation, despite the inherent drawbacks to this procedure. We recommend that more attention is given to achieving higher below-knee amputation rates to improve the chances of amputee mobility and therefore quality of life.

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