The rigid determination of the amputation height by so-called amputation schemes with division into valuable, dispensable and obstructive limb sections, which was carried out in the past, is now outdated and must be rejected. With the various amputation heights and forms, the extent to which the residual limb is able to bear weight and suitable … Amputation heights
What is a transtibial amputation? A transtibial amputation is usually understood to be a surgical separation of the leg below the knee joint. The function of the knee joint is normally retained, so that in most cases a fitting with an adapted prosthesis can be carried out. A transtibial amputation becomes necessary either after a … Lower leg amputation
Preparation Preparation for a transtibial amputation requires first of all the explanation of the underlying cause and the necessity of this intervention in a way that is understandable for the patient. The operation requires an inpatient hospital stay of several days or weeks, usually starting the day before the operation. The attending physicians will pause … Preparation | Lower leg amputation
Risks of surgery As with any operation, transtibial amputation is associated with risks. A distinction is made between general risks, which can occur with almost any operation, and specific risks that can arise with a transtibial amputation. The general risks include, for example, the fact that the operation may result in severe blood loss, which … Risks of surgery | Lower leg amputation
How long does a transtibial amputation take? The actual operation for a transtibial amputation usually takes less than an hour. In addition, however, there are the times for the in-patient hospital stay to prepare for the operation and the healing phase. Depending on the patient’s state of health and the healing process, several days to … How long does a transtibial amputation take? | Lower leg amputation
What is a transtibial prosthesis? A transtibial prosthesis is a medical aid that takes over the functions of the now missing body part after transtibial amputation. Most modern prostheses are based on the natural shape of a lower leg and foot, so that they are not directly noticeable when wearing long trousers. In addition to … What is a transtibial prosthesis? | Lower leg amputation
With the amputation technique, a distinction must be made between whether the amputation wound is closed immediately or only at a second operation. This is referred to as a closed or open operation. The open, so-called two-stage amputation, gained its importance especially in cases of war and catastrophe and can be associated with considerable disadvantages … Amputation technique
Bone closure The bone is closed by sutured strips of periosteum (periosteum strips), but the bone is also lengthened and stabilised by periosteum or bone chips. The aim is to protect the tibia and fibula, for example, at the lower leg, from compression by the prosthesis by means of a stable bone connection. During the … Bone closure | Amputation technique
Introduction Toe amputation is the surgical removal of one or more toes. If the tissue is so damaged by a disease or injury that there is no longer any chance of the toe being able to heal, a toe amputation is recommended. Otherwise, the toe may rot and become inflamed, so that in the worst … Toe amputation
Diagnosis The diagnosis of a disease that requires toe amputation is made by the doctor on the basis of various examinations. An amputation is usually only considered if there is irreversible tissue damage and the toe cannot be preserved. This may be the case, for example, if there is insufficient blood flow as a result … Diagnosis | Toe amputation
Procedure of the operation Before performing toe amputation, the doctor must inform the patient about the procedure and the risks of the procedure. In addition, blood must be drawn, for example to examine the patient’s blood coagulation. Anesthesia is administered before the actual procedure. In some cases a general anaesthetic is used, in others only … Procedure of the operation | Toe amputation
Duration of healing No general statement can be made about the duration of healing after toe amputation. In the best case, after a complication-free course, the residual limb heals completely within a few weeks. However, toe amputations are often based on a disease that restricts blood circulation and wound healing, such as diabetes mellitus (“diabetes”). … Duration of healing | Toe amputation
