What amputation techniques are available?
In transfemoral amputation, the bone can be set down over the entire length of the thigh, always cutting through the bone as far as possible at the knee in order to obtain a long stump for simple prosthetic fitting. However, new surgical techniques have made good prosthetic restorations possible for shorter residual limbs. A distinction is made here between the so-called transcondylar transfemoral amputation, in which the amputation is performed close to the knee with as much preservation of the bone interior, the cancellous bone, as possible as a support surface, and the transfemoral amputation according to Gritti, in which the bone is also separated as close to the knee as possible, which is then covered with the bone from the stump end of the kneecap.
How long does a transfemoral amputation take?
The operation of a thigh amputation itself takes only a few hours. The subsequent hospital and rehabilitation treatment, however, requires considerably more time. Especially for major operations such as a transfemoral amputation, the subsequent hospital stay can last up to 4 weeks, followed by a rehabilitation treatment between 3 and 10 weeks.
OR Preparation
A transfemoral amputation requires careful and detailed preparation. As soon as the indication for amputation has been given and thus other therapy alternatives have been ruled out, the doctor is obliged to hold a detailed informative discussion in which he informs the patient about the exact procedure in the operation, the subsequent rehabilitation treatment and possible risks and complications. If the patient agrees in writing to the treatment on consequences, first of all a series of examinations to assess the patient’s general condition, resilience and associated risks of complications.
These include blood count analyses, examinations of heart and lung function, and a vascular status.Imaging by means of computed tomography is also usually performed to obtain a precise understanding of the anatomical conditions. In addition to the preparations for the operation, measures should also be taken in advance for the time after the operation, for example in the form of physiotherapy to specifically strengthen the muscles and the purchase of possible aids. Another important point is the emotional preparation for the upcoming amputation, where psychotherapeutic consultations can be of great help.
