[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
February 1980

Morbid Implications of Above-Knee AmputationsReport of a Series and Review of the Literature

Author Affiliations

From the Department of Surgery, University of Kentucky Medical Center, Lexington, Ky.

Arch Surg. 1980;115(2):165-167. doi:10.1001/archsurg.1980.01380020033008
Abstract

• In a retrospective review of 100 consecutive patients requiring above-knee amputation for arterial occlusive disease, the operative mortality was 15%. An additional 26% mortality occurred during a two-year follow-up period. Principal causes of death were sepsis in 54%, heart disease in 16%, and stroke in 11%. The poor prognosis of patients requiring amputation was related to progression of systemic diseases and to generalized debility among these patients.

(Arch Surg 115:165-167, 1980)

References
1.
Glattly HW:  A statistical study of 12,000 new amputees . South Med J 57:1373-1378, 1964.Article
2.
Harris PL, Read F, Eardley A, et al:  The fate of elderly amputees . Br J Surg 61:665-668, 1974.Article
3.
Mandelberg A, Sheinfeld W:  Diabetic amputations: Amputations of lower extremity in diabetes: Analysis of 128 cases . Am J Surg 71:70-76, 1946.Article
4.
Otteman MG, Stahlgren LH:  Evaluation of factors which influence mortality and morbidity following major lower extremity amputations for arteriosclerosis . Surg Gynecol Obstet 120:1217-1220, 1965.
5.
Cameron HC, Lennard-Jones JE, Robinson MP:  Amputations in the diabetic: Outcome and survival . Lancet 2:605-607, 1964.Article
6.
Hansson J:  The leg amputee: A clinical follow-up study . Acta Orthop Scand 69 ( (suppl) ):20-64, 1964.
7.
Kihn RB, Warren R, Beabe GW:  The geriatric amputee . Ann Surg 176:305-314, 1972.Article
8.
Kolind-Sorensen V:  Follow-up of lower limb amputees . Acta Orthop Scand 45:97-104, 1974.Article
9.
Little JH, Petritsi-Jones D, Zylstra P, et al:  A survey of amputations for degenerative vascular disease . Med J Aust 1:329-334, 1973.
10.
Carney WI, Goldowsky SJ:  Amputations in peripheral vascular disease . Am J Surg 93:795-797, 1957.Article
11.
Dale WA, Capps W Jr:  Major leg and thigh amputations . Surgery 46:333-342, 1959.
12.
Schlitt RJ, Serlin O:  Lower extremity amputations in peripheral vascular disease . Am J Surg 100:682-689, 1960.Article
13.
Dale WA, Jacobs JK:  Lower extremity amputations: Results in Nashville, 1956-1960 . Ann Surg 155:1011-1022, 1962.Article
14.
Lempke RE, King RD, Kaiser GC, et al:  Amputations for arteriosclerosis obliterans . Arch Surg 86:406-413, 1963.Article
15.
McClure JN Jr, Shippey SH, Stokley PH, et al:  Lower extremity amputations in Grady Memorial Hospital . J Med Assoc Georgia 55:291-294, 1966.
16.
Warren R, Kihn RB:  A survey of lower extremity amputations for ischemia . Surgery 63:107-120, 1968.
17.
Nagendran T, Johnson G Jr, McDaniel WJ, et al:  Amputation of the leg: An improved outlook . Ann Surg 175:994-998, 1972.Article
18.
Rosenberg NW, Adiarte E:  Mortality factors in major limb amputations for vascular disease: A study of 176 procedures . Surgery 67:437-441, 1970.
19.
Silverstein MJ, Kadish L:  A study of amputations of the lower extremity . Surg Gynecol Obstet 137:579-580, 1973.
20.
Burgess EH, Marsden FW:  Major lower extremity amputations following arterial reconstruction . Arch Surg 108:655, 1974.Article
×