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 several weeks must be planned for this.

Rehabilitation over several months is usually necessary after the operation. It can take months to years until the residual limb has completely healed, a final prosthesis can be fitted and the patient has become accustomed to it. Limitations and consequences of transtibial amputation, such as phantom pain, can last a lifetime.

What amputation techniques are available?

The technique used for a transtibial amputation is basically the same for every operation. The different layers of tissue are cut through, the bones are sawed through at a certain height and blood vessels and nerve tracts are tied up.The muscles and skin layers are then sutured together to form a closed residual limb. The procedure usually used for transtibial amputation is also known as Burgess surgery. Differences in the surgical techniques may arise with regard to the height at which the transtibial amputation is performed, which depends on the indication for the operation (e.g. a disease with circulatory problems) and the individual anatomical conditions of the patient concerned.

May I drive after a transtibial amputation?

Basically, after a transtibial amputation, one may continue to drive. For insurance reasons, however, it is strongly recommended to have a medical certificate issued by a doctor with an additional traffic medicine designation. The costs for this amount to about 150 Euros and must be paid by the affected person.

Anyone wishing to switch to a car with the gas pedal on the left side after a transtibial amputation of the right leg must complete at least five driving lessons with this constellation if they already have a driving license. This is required by law. Otherwise, there are various ways of converting the vehicle so that it can be driven even if the right leg is amputated on the lower leg or even if the amputation is bilateral. Information on this can be obtained, for example, from a medical supply store or workshops that carry out such conversions.