Pirogoff amputation was originally described by Russian surgeon Nicholas Pirogoff in 1864. It refers to the osteoplastic amputation distal to the ankle joint, talus resection and bone fusion of the tibia and the calcaneus.

What is a Boyd amputation?

The Boyd amputation is a surgical technique used to treat osteomyelitis of the foot. This amputation is a technically more difficult procedure to perform than the Syme amputation, but it offers certain advantages. The Boyd amputation provides a more solid stump because it preserves the function of the plantar heel pad.

What is a transtibial amputation?

Transtibial amputation, or below-knee amputation, is a surgical procedure performed to remove the lower limb below the knee when that limb has been severely damaged or is diseased. Most transtibial amputations (60%–70%) are due to peripheral vascular disease, or disease of the circulation in the lower limb.

What is Symes amputation?

Background: Syme amputation (SA) is a term used to describe an amputation at the level of the ankle joint in which the heel pad is preserved. It is performed for a number of indications in a pediatric population. SA is purported to hold the advantage of allowing weight bearing without a prosthesis.

What is a Gritti Stokes amputation?

Abstract. Background: The Gritti-Stokes amputation procedure is a modification of the traditional transfemoral amputation, with resection of the bone at a supracondylar femoral level and fixation of the patella to the distal part of the femur as an end-cap.

Why do guillotines amputate?

The initial guillotine amputation helps control the infection, eliminate the bacteremia, and provide a safer wound environment for a definitive amputation at a later date. Thus, it is preferred as a first stage to control infection, followed by a definitive below-the-knee amputation.

What is a transfemoral amputation?

Transfemoral (above knee) amputation is a surgical procedure performed to remove the lower limb at or above the knee joint when that limb has been severely damaged via trauma, disease, or congenital defect.

What is a Transhumeral amputation?

In a transhumeral amputation (also known as ‘above the elbow’), the amputation occurs through the upper arm bone (the humerus) , so that the elbow is no longer present.

What is a Hemipelvectomy surgery?

A hemipelvectomy is a surgical procedure that may be performed to address certain bone and soft tissue tumors that developed in or spread to the pelvis. An uncommon type of lower-extremity, above-the-knee amputation, hemipelvectomy involves the removal or resection of the pelvis.

What is Myodesis?

Myodesis: The muscle is secured to the bone by suturing the distal tendon via pre-drilled holes to the bone. Can be performed on below-knee or above-knee amputation.

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What is BK prosthesis?

A below knee amputation prosthesis is an artificial replacement of an amputated leg and is more commonly used than other amputations. … The Preparatory Prosthesis. The Patella-Tendon Weight-bearing Prosthesis (PTB) Total-Surface Bearing Prosthesis. A Joint-Corset Prosthesis.

What is a ray amputation?

In situations where we are removing digits such as fingers, hand surgeons perform an operation called ‘ray amputations’. In a finger example, ray amputations are the removal of an entire finger along with the corresponding metacarpal bones in the hand.

What are the types of amputations?

• Above-Knee Amputation. Your physical therapist can help you after an amputation. …
• Below-Knee Amputation. …
• Hemipelvic Amputation. …
• Toe Amputation. …
• Partial Foot Amputation. …
• Disarticulation.

How does a transfemoral prosthetic work?

A trans-femoral prosthesis is an artificial limb that replaces any amputated limb above the knee. The prosthesis is made from a high-quality raw material known as polypropylene. It has several components which fit together to construct the final piece.

What does the word transfemoral mean?

1 : passing through or performed by way of the femoral artery transfemoral angiography. 2a : occurring across or involving the femur transfemoral amputation. b : having undergone transfemoral amputation a transfemoral amputee also : suitable for use following transfemoral amputation transfemoral prostheses.

What type of contracture is common in the patient with a transfemoral amputation?

At the transfemoral level of amputation, a hip flexion-abduction contracture can be devastating because the already high energy requirement for ambulation at this level is further increased by contracture. Again, prevention is the key.

How is a foot amputated?

Foot amputation is surgery to remove part or all of your foot. Your doctor left as much healthy bone, skin, blood vessel, and nerve tissue as possible. After a foot amputation, you will probably have bandages, a rigid dressing, or a cast over the remaining part of your leg or foot.

What is a guillotine surgery?

From Wikipedia, the free encyclopedia. In surgery, a guillotine amputation is an amputation performed without closure of the skin in an urgent setting. Typical indications include catastrophic trauma or infection control in the setting of infected gangrene.

What is a closed amputation?

After completely removing the dead tissue, the surgeon may decide to close the flaps. This is called a closed amputation. Or the surgeon may decide to leave the site open. This is called open flap amputation. In a closed amputation, the wound will be stitched closed right away.

How long does it take to recover from a Hemipelvectomy?

Conclusions. Overall mean survival time after hemipelvectomy was 32.8 months. Advanced disease stage might be independently associated with reduced survival.

What causes Hemicorporectomy?

The operation is performed to treat spreading cancers of the spinal cord and pelvic bones. Other reasons may include trauma affecting the pelvic girdle (“open-book fracture”), uncontrollable abscess or ulcers of the pelvic region (causing sepsis) or other locally uncontainable conditions.

Can you walk with no pelvis?

With a broken pelvis you cannot walk, sit or move well without pain. The pelvis protects the bladder, intestines and many important blood vessels. Many of the important leg muscles and abdominal muscles attach to the pelvis and allow for body motion and function.

What is the most common upper limb amputation?

Finger amputations are the most common of upper limb amputations and mostly involve single digits. Upper limb amputations from trauma occur at a rate of 3.8 individuals per 100,000; finger amputations are the most common (2.8 per 100,000). Hand amputations from trauma occur at a rate of 0.02 per 100,000.

How does myoelectric prosthesis work?

How does it work? A myoelectric prosthesis uses the existing muscles in your residual limb to control its functions. One or more sensors fabricated into the prosthetic socket receive electrical signals when you intentionally engage specific muscles in your residual limb.

What is elbow amputation?

The surgical removal of an elbow or the arm above the elbow joint is called elbow amputation. Elbow and above-elbow amputations may be performed for the following reasons: Peripheral vascular disease (PVD): The risk factors include diabetes and blood clots. Osteomyelitis (an infection in the bones)

What is Myoplasty in amputation?

myoplasty: Like myodesis, myoplasty is a surgical technique used to foster distal muscle stabilization. In this technique, muscle is sutured to muscle and then placed over the end of the bone before closing the wound.

What is ideal stump?

Ideal Stump Skin flaps: skin should be mobile, sensation intact, no scars. Muscles are divided 3 to 5 cm distal to the level of bone resection. Nerves are gently pulled and cut cleanly, so that they retract well proximal to the bone level to reduce the complication of neuroma.

What is the difference between Myodesis and Myoplasty?

If the muscle groups themselves are attached directly and securely to the periosteum or the bone, it is called myodesis. In myodesis, the deepest layers of muscle are typically secured directly to the bone, while the more superficial layers of muscle are sewn to each other as a myoplasty.

What is a vacuum socket?

By means of a pump unit, a vacuum is created between the suspension sleeve and the liner by the air being actively pumped out of the socket during an amputees’ natural walking pattern. … This vacuum makes for an unprecedented socket fit.

What is a tibial flare?

Tibia– the largest bone below your patella, also called the shinbone. Medial flare of tibia– this area is on the inside portion of the tibia below your knee. This is where the tibia changes from wide to narrow.

What is above knee prosthesis?

An above knee (AK) or transfemoral (TF) prosthesis is custom made for a person who has had a AK or TF amputation. The prosthesis consists of a custom made socket, liner, knee, pylon, and foot. Sometimes the prosthesis may consist of a sleeve or other harness, depending on the suspension system used for that patient.