Midcalf Amputation in the Ischemic Extremity

Robb, Herbert J.; Jacobson, Lyle F.; Jordan, Pamela

doi:10.1001/archsurg.1965.01320150136026

Cited by 9 publications

(2 citation statements)

References 5 publications

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“…Burgess 11968, 1971) popularized the technique of using a long posterior flap as suggested by Bichel (1943) and Ghormley (1946). Persson (1971Persson ( , 1974 has renewed interest in using a sagittal incision and two side flaps as suggested by Robb, Jacobsen & Jordan (1965) and by Tracey (1966). The long posterior flap technique and the sagittal technique have proved equally suitable in a controlled trial (Termansen 1977).…”

Section: Chapter I: Introduction Aim Introductionmentioning

confidence: 99%

Skin perfusion pressure measured by radioisotope washout for predicting wound healing in lower limb amputation for arterial occlusive disease

Holstein

1985

Acta Orthopaedica Scandinavica

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T. (1977). Skin perfusion pressure measured as the external pressure required to stop isotope washout. Methodological considerations and normal values on the legs. Scand. J. clin. Lab. Invest. 37,649-659. 11. Bolund, S. & Holstein, P. (1976). Blood flow cessation at external pressure in rat skin flaps. Isotope washout compared to vital capillary microscopy. Microvasc. Res. 11, 381-390. 111. Holstein, P., Nielsen, P. E. & Barras, J.-P. (1979). Blood flow cessation at external pressure in the skin of normal human limbs. Photoelectric recordings compared to isotope washout and to local intra-arterial blood pressure. Microvasc. Res. 17, 71-79.

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Section: Chapter I: Introduction Aim Introductionmentioning

confidence: 99%

Skin perfusion pressure measured by radioisotope washout for predicting wound healing in lower limb amputation for arterial occlusive disease

Holstein

1985

Acta Orthopaedica Scandinavica

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“…11,[15][16][17][18][19][20][21] BKA techniques other than the long posterior flap have been developed with the rationale of ensuring adequate soft tissue coverage and avoiding secondary ischaemic tissue complications. Among these, the techniques with two sagittal (lateral and medial) flaps described by Robb et al 22 and Persson, 14,23,24 the 'skew flap' technique 25,26 or the procedure with a medially based flap 27 have all been widely applied with good results. Although the controversies about the optimal type of skin incision for BKA have been ongoing until the present, 18,28 a thorough meta-analysis, which was recently published in the Cochrane Database of Systematic Reviews showed that neither the skew flap nor the sagittal flaps techniques confer any advantage over the well-established long posterior flap procedure.…”

Section: Introductionmentioning

confidence: 99%

Concepts of Transtibial Amputation: Burgess Technique Versus Modified Brückner Procedure

Stahel

Oberholzer

Morgan

et al. 2006

ANZ Journal of Surgery

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The technique of a long posterior myocutaneous flap described by Ernest M. Burgess in the late 1960s is one of the most frequent procedures for below-knee amputations worldwide. To account for some potential problems associated with this procedure in patients with occlusive arterial disease, Lutz Brückner developed a modified amputation technique for transtibial amputation in the 1980s. Although this new standardized procedure has been widely used in Germany, it is not well known outside central Europe, secondary to its lack of description in English published work. In this review article, we describe a comparison of the technical aspects of the Burgess procedure with the modified Brückner technique for transtibial amputations. In addition, the charts of 69 consecutive patients with end-stage occlusive arterial disease undergoing below-knee amputation by either of the two standardized procedures (Burgess, n = 29; Brückner, n = 40) were reviewed. The clinical results of the two procedures are reported and compared. Review of the German published work suggests that the two techniques for transtibial amputation in patients with occlusive arterial disease appear to have similar results. This is further supported by data from our own 10-year experience with 69 patients undergoing below-knee amputation by either of the two standardized procedures. This suggests that the Brückner technique is at least equivalent to the Burgess procedure with regard to the clinical outcome in patients with occlusive arterial disease. The potential advantages of the standardized modified Brückner procedure compared with the 'classical' Burgess technique for transtibial amputation remain to be assessed in prospective multicentre trials.

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Amputationen im Unterschenkelbereich

Schröter

2023

Orthopädie Und Unfallchirurgie

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Midcalf Amputation in the Ischemic Extremity

Cited by 9 publications

References 5 publications

Skin perfusion pressure measured by radioisotope washout for predicting wound healing in lower limb amputation for arterial occlusive disease

Skin perfusion pressure measured by radioisotope washout for predicting wound healing in lower limb amputation for arterial occlusive disease

Concepts of Transtibial Amputation: Burgess Technique Versus Modified Brückner Procedure

Amputationen im Unterschenkelbereich

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