Amputation

1
Amputation

• H.Makhmalbaf MD
• Consultant Orthopaedic Knee Surgeon

2
Amputations

• Definition
• History
• Indications
• Absolute indication
• Relative indications
• mengt women
• Lower limbgt upper limb

3
Indications

• Peripheral vascular disease
• Trauma lt50y
• Burns
• Frostbite
• Infection
• Acute
• Choronic
• Tumors

4
Pre op evaluation

• Consultation
• Medical condition
• Steriods
• Diabetes , insulin treatment
• Duppler sonography
• Skin condition
• Determine level of amputation

5
Surgical principles

• Skin muscle flaps
• Hemostasis
• Nerves
• Bone
• Open amputation

6
Aftertreatment

• Compression bandage
• Rigid dressing
• Early prosthetic fitting
• Physiotherapy
• Definitive prosthesis
• Rehabilitation

7
Complications

• Hematoma
• Infection
• Wound necrosis
• Contractures
• Pain
• Neuroma