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April 1989

Limb Salvage and Amputation for Vascular Disease

Arch Surg. 1989;124(4):511. doi:10.1001/archsurg.1989.01410040121035

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


Amputation is the profession's equivalent to Chapter 11 for vascular surgeons; an admission of failure and occasionally the result of poor judgment. This book, edited by three distinguished British vascular surgeons, is an in-depth study of such disease progression and management failure.

Eighty authors from ten countries provide chapters on subjects ranging from the epidemiology of disease and anticipated clinical course following amputation to the need to use a multidisciplinary team in the management of amputee rehabilitation. It is interesting to note that despite the obvious enthusiasm for the team approach, no hard numbers are provided to prove its advantages. Obviously, it is logical to use all the help one can get from such ancillary services, but future studies should try to quantitate the advantages.

I suspect that this book in no way resembles what Professor McColl's Blue Ribbon Governmental Committee had in mind when it asked Gleenhalgh to review

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