Advertisement
Advertise here Publish your press releases here Sponsor BioPortfolio
Follow us on Twitter Sign up for daily news and research emails Contributors wanted

Upper leg amputation : Transfemoral amputation.

16:59 EDT 20th April 2014 | BioPortfolio

Summary of "Upper leg amputation : Transfemoral amputation."


OBJECTIVE:
Amputation through the diaphysis of the femur at the most peripheral level possible. The stump, covered with soft tissue flaps, is free from pain. It can be fitted with a total contact prosthetic socket. The hip joint is preserved with its full range of motion.
INDICATIONS:
When no possibility to amputate at a more distal level through the tibia or the knee joint exists.
CONTRAINDICATIONS:
When it is possible to amputate at a more distal level. SURGICAL
TECHNIQUE:
Symmetrical flaps in the frontal plane are recommended. Asymmetrical flaps and flaps in the sagittal plane can also be made. Their muscles are fixed to each other (myodesis) or the bone end by means of transosseous sutures (myopexy). The ischial nerve has to be shortened about 2 inches proximal to the end of the femur. In peripheral vascular diseases, this procedure is not suitable. An alternative technique is suggested. In chronic osteomyelitis (e.g., after intramedullary nailing), the ventral half of the femur can be removed and the medullary cavity cleansed and filled with a muscular flap in order to maintain length. Lengthening procedures of the femur are discussed. POSTOPERATIVE
MANAGEMENT:
Avoid active or passive movement of the stump for the first 2 weeks in order not to disturb healing of the muscle sutures. Physical therapy, prosthetic fitting after 4-6 weeks, according to the expected functional level 0-4. Aids: crutches, wheel chair, adjustable bed, modified hand-controlled automobile. The walking ability of a patient with a double amputation above the knee is severely limited and in patients with peripheral artery disease remains the exception.

Affiliation

-, Langwisstr.14, 8126, Zumikon bei Zürich, Schweiz, rabaumgart@bluewin.ch.

Journal Details

This article was published in the following journal.

Name: Operative Orthopadie und Traumatologie
ISSN: 1439-0981
Pages:

Links

PubMed Articles [1624 Associated PubMed Articles listed on BioPortfolio]

Influence of transfemoral amputation length on resulting loads at the osseointegrated prosthesis fixation during walking and falling.

Transfemoral amputation is a surgical measure in which the surgeon typically conserves as much tissue and bone as possible. Osseointegrated fixation of prostheses is a promising alternative to convent...

Economic Analysis of Revision Amputation and Replantation Treatment of Finger Amputation Injuries.

The purpose of this study was to perform a cost-utility analysis to compare revision amputation and replantation treatment of finger amputation injuries across a spectrum of injury scenarios.

A novel osseointegrated percutaneous prosthetic system for the treatment of patients with transfemoral amputation: A prospective study of 51 patients.

Patients with transfemoral amputation (TFA) often experience problems related to the use of socket-suspended prostheses. The clinical development of osseointegrated percutaneous prostheses for patient...

Clinical characteristics and medical costs in patients with diabetic amputation and nondiabetic patients with nonacute amputation in central urban hospitals in china.

The objective was to analyze the clinical characteristics, amputation level, final outcome of amputation, and medical cost between diabetic amputation and nonacute amputation in China central urban ho...

A single-blind, cross-over trial of hip abductor strength training to improve Timed Up and Go performance in patients with unilateral, transfemoral amputation.

Objective: To evaluate hip abductor strength-training for patients with unilateral transfemoral amputation. Design: Single-blind, cross-over (AB/BA) trial with randomization. Subjects: Seventeen patie...

Clinical Trials [532 Associated Clinical Trials listed on BioPortfolio]

Bone Physiology & Mechanics in Osteomyoplasty Amputation Rehabilitation

The purpose of the study is to compare the effect of different lower limb amputation surgical procedures on leg bone integrity and rehabilitation outcome.

The Effect of Silicone Suspension on Standing Balance for Transfemoral Amputees

The objective of this study is to test the hypothesis that silicone suction suspension without additional belt support does not significantly diminish the postural sway or walking performa...

Chronic Pain After Amputation

This trial will test the effectiveness of amitriptyline in relieving chronic pain of adults that have had an amputation

The Effect of Amputation on Spatial Visual Representation in Peripersonal Space

In this study, we wish to find behavioral evidence for the question whether an amputation of the arm can lead to changes in visual perception or motor responses to objects in peripersonal...

Prosthetic Limbs After Leg Amputation: Alternative Method of Socket Design

People who have had a leg amputated often choose to use a prosthetic (artificial) leg. This study will evaluate a new method of making prosthetic legs for people who have had an amputatio...

Medical and Biotech [MESH] Definitions

The part of a limb or tail following amputation that is proximal to the amputated section.

Amputation or separation at a joint. (Dorland, 28th ed)

Amputation of a lower limb through the sacroiliac joint.

The removal of a limb or other appendage or outgrowth of the body. (Dorland, 28th ed)

Loss of a limb or other bodily appendage by accidental injury.

Search BioPortfolio: