amputation

The incidence of surgical site infection following transmetatarsal amputation: a systematic review

August 18, 2024

Introduction Transmetatarsal amputations (TMAs) were first popularised in 1949 by McKittrick et al, who used this procedure as an alternative to more proximal amputations when addressing gangrene or infection.1 Its use has continued as an effective surgical approach in treating forefoot gangrene, infection and chronic ulceration, most commonly in patients with diabetic foot or vascular…

A rare case of a dog bite leading to bilateral lower limb amputations

May 14, 2024

Abstract Capnocytophaga canimorsus is a rare cause of bacteraemia, occurring usually after dog bites, and can have devastating consequences for patients. This report describes the case of a 65-year-old woman who presented acutely unwell 6 days after being bitten on the hand by a dog. She suffered consequences of overwhelming sepsis, disseminated intravascular coagulation and…

Long-term outcomes of major and minor lower limb amputation: eight-year retrospective analysis from a single tertiary referral centre

February 28, 2024

Introduction Major amputation is a life-changing yet common endpoint in the management of diabetic foot disease (DFD) and chronic limb-threatening ischaemia (CLTI). Less commonly, amputation is performed for traumatic limb injury, deformity, chronic pain or loss of function.1–4 Major amputation is estimated to affect 3–4% of all patients with peripheral arterial disease (PAD)5 and 15–20%…

Surgical and rehabilitation outcomes of patients undergoing through knee amputation compared with above knee amputation

July 5, 2023

Introduction Every year more than 5,000 patients undergo a major lower limb amputation in the UK.1-3 Major lower limb amputation is a pivotal life-changing event which can result in significant physical and psychological impacts, depending on the person’s functional ability pre-amputation, the cause of their amputation, their co-morbidities and the level of amputation.4,5 Below knee…

Outcome of covered stents for severe aorto-iliac occlusive disease (AIOD) in patients with chronic limb-threatening ischaemia

March 14, 2023

Introduction The most recent iteration of the Inter-Society Consensus Document for the Management of Peripheral Arterial Disease from 2015 (Trans-Atlantic Inter-Society Consensus; TASC II) has suggested that all types of aorto-iliac occlusive disease (AIOD) may be treated using either an endovascular or open approach, provided the clinical team has sufficient expertise in the given modality,…