Abstract
The authors present their experience in the treatment of chronic lower limb ischaemia resulting from atherosclerosis by below knee amputation according to Ghormley’s technique, with the immediate application of a semi-rigid plaster cast and early rehabilitation.
From a group of 664 patients requiring major amputations, 61 patients (52 men) aged 64 ±11 fulfilled the criteria for unilateral below-knee amputation for critical limb ischaemia for atherosclerosis consequences. Peri-operative (30-days) mortality was of 3.28%. Stump healing was very good or good (no need for further surgery) in over 2/3 of patients, but in 20% the need for above-knee amputation developed. Postoperative knee contracture (defined as 15 degrees or more limitation to the movement range) was observed in 11.5% of patients.
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K. Wasiak
K. Wasiak, M.D., Ph.D.Department I, The Professor M. Weiss Memorial Center for Rehabilitation and Treatment of Musculoskeletal Diseases and Trauma (STOCER) Wierzejewskiego St. 12 05-511 Konstancin, Poland Tel. :+48 22 711 90 15