Flashcards in Levels of LE Amputations Deck (9)
Optimal length of BKA
Proximal 50% of tibia (20-50%)
When is a knee disarticulation instead of a BKA indicated?
When there is a severe knee flexion contracture and limb ischemia
When are Boyd and pirogoff amputations contraindicated and indicated?
Contraindicated in diabetes and ischemia.
Indicated only for trauma.
In a BKA, how long should the fibula be in relation to the tibia?
Fibula should be 2-3 cm shorter than tibia
Pirigoff vs Boyd amputation
Pirigoff = vertical calcaneal amputation
Boyd = horizontal calcaneal amputation
Metatarsal ray amputations of which ray is more successful?
4th and 5th ray amputation
In a transfemoral amputation, what surgical procedure is done to help maintain adduction position of the femur in the prosthetic socket?
Myodesis of the adductor magnus to the lateral femur
What is a significant complication of lisfranc and chopart amputations? And what surgical intervention is used to prevent this?
Equinovarus deformity. Achilles tendon lengthening prevents this.