The healing of through-knee amputations in relation to skin perfusion pressure
Author(s) -
H. C. Thyregod,
P. Holstein,
J. Steen Jensen
Publication year - 1983
Publication title -
prosthetics and orthotics international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.729
H-Index - 52
eISSN - 1746-1553
pISSN - 0309-3646
DOI - 10.3109/03093648309166972
Subject(s) - perfusion , amputation , medicine , knee joint , washout , surgery , cardiology
The healing in 20 through-knee amputations was compared with preoperatively measured skin perfusion pressure, determined as the minimal external pressure required to stop the washout of isotopes injected intradermally 10 cm distal to the knee joint. Out of 18 amputations with a skin perfusion pressure of above 20 mmHg only 2 failed to heal, whereas 2 out of 4 cases with skin perfusion pressure below 20 mmHg failed to heal. It is concluded that the through-knee amputation must be considered in cases where the circulation is borderline for healing in below-knee amputation.
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