Disarticulation of the knee: Analysis of an extended database on survival, wound healing, and ambulation

Abstract

If feasible, the dorsomyocutaneous flap technique seems to be the treatment of choice in KD. Because the wound complication rate of the group with a dorsomyocutaneous flap and the percentage of amputee patients who received prosthesis after KD fell within the same range as TFA amputee patients, KD may be an appropriate alternative when surgeons consider a TFA.

Comparison of the Effects of Epidural Anesthesia and General Anesthesia on Perioperative Cognitive Function and Deep Vein Thrombosis in Patients Undergoing Total Knee Arthroplasty

“…Knee replacement and active functional exercise after surgery can help patients to reduce joint pain, improve joint function, and correct joint deformities, thereby improving the quality of life [10,11]. However, TKA is a highly difficult orthopedic operation, which has extremely high requirements for the surgeon, the operating room environment, surgical team, and sterility level, and it is easy to cause various complications [12]. A variety of trauma, pain, and surgical procedures can cause stress response of the body and change the endocrine function of the body, so that patients secrete a large amount of adrenal hormone.…”

Through-knee versus above-knee amputation for vascular and non-vascular major lower limb amputations

“…The conflicting evidence surrounding through-knee amputation describes varying postoperative levels of success. Earlier papers recommended above-knee amputation for the best chance of primary healing (Chilvers 1971;Jamieson 1976), as delayed wound healing increases length of hospital stay, increases time taken to achieve mobility with a prosthesis, and decreases level of mobility achieved (Nijmeijer 2017). However, recent advancement in surgical techniques for throughknee amputation are improving patient outcomes for survival, morbidity, infection and dehiscence rates (Lim 2018;Nijmeijer 2017).…”

Through-knee versus above-knee amputation for vascular and non-vascular major lower limb amputations

“…Conflicting evidence surrounding through-knee amputation describes varying postoperative levels of success. Earlier papers recommended above-knee amputation for the best chance of primary healing (Chilvers 1971;Jamieson 1976), as delayed wound healing increases length of hospital stay, increases time taken to achieve mobility with a prosthesis, and decreases level of mobility achieved (Nijmeijer 2017). However, recent advancements in surgical techniques for throughknee amputation are improving patient outcomes for survival, morbidity, infection, and dehiscence rates (Lim 2018;Nijmeijer 2017).…”