Principles of Amputations

Mahmoud Rahuma

- Presentation on principles of limb amputation with a focus on surgical technique and course of surgery.

- Peripheral vascular disease is the most common cause of limb amputation, followed by trauma and cancer.

- Three clear indications to consider amputation are an unreconstructable limb, soft tissue irreparable vascular injury, and severe loss of plantar foot skin and soft tissue.

- A simple scoring system helps in deciding amputation based on four parameters: mechanism of injury, patient hemodynamic state, ischemia, and age.

- Above-knee amputation results in higher energy consumption compared to below-knee amputation, and the ideal level of amputation is the junction between the proximal and distal third of the limb.

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This teaching video is specifically helpful for candidates preparing for the following Orthopaedic Exams : FRCS , European Board (FEBOT) , SICOT Diploma and Arabic Boards.