An analysis of risk factors associated with failure of below knee amputations

World Journal of Surgery

Volumn 30, Issue 6, 2006, Pages 1081-1087

  Yip, Vincent S K ^a,b   Teo, Nee Beng ^a   Johnstone, Robert ^a   Robertson, Andrew G N ^a   Robertson, John H P ^a   Welch, George H ^a   Kettlewell, Stephen ^a  

^a SOUTHERN GENERAL HOSPITAL   (United Kingdom)

^b UNIVERSITY OF EDINBURGH   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; AMPUTATION STUMP; ARTERIOGRAPHY; ARTERY OCCLUSION; BELOW KNEE AMPUTATION; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; MALE; MULTIPLE REGRESSION; MULTIVARIATE ANALYSIS; PULSE WAVE; REVIEW; RISK FACTOR; SCORING SYSTEM; SOCIAL ISOLATION; STATISTICAL SIGNIFICANCE; TREATMENT FAILURE; WOUND INFECTION;

ADULT; AGED; AGED, 80 AND OVER; AMPUTATION; ANGIOGRAPHY; FEMALE; HUMANS; ISCHEMIA; LEG; LOGISTIC MODELS; MALE; MIDDLE AGED; POSTOPERATIVE COMPLICATIONS; QUALITY OF LIFE; REOPERATION; RISK FACTORS;

EID: 33744730835     PISSN: 03642313     EISSN: 14322323     Source Type: Journal    
DOI: 10.1007/s00268-005-0737-y     Document Type: Review

References (39)

1. Galland RB, Magee TR, Berridge DC, et al. Variation in vascular activity in the United Kingdom: an analysis of five regions. Cardiovasc Surg 1999;7(7):694-698.
2. Kihn RB, Warren R, Beebe GW. The "geriatric" amputee. Ann Surg 1972;176(3):305-314.
3. Rush DS, Huston CC, Bivins BA, et al. Operative and late mortality rates of above-knee and below-knee amputations. Am Surg 1981;47(1):36-39.
4. Jamieson MG, Ruckley CV. Amputation for peripheral vascular disease in a General Surgical Unit. J R Coll Surg Edinb 1983;28(1):46-50.
5. Bunt TJ, Manship LL, Bynoe RP, et al. Lower extremity amputation for peripheral vascular disease. A low-risk operation. Am Surg 1984;50(11):581-584.
6. Ratliff DA, Clyne CA, Chant AD, et al. Prediction of amputation wound healing: the role of transcutaneous pO2 assessment. Br J Surg 1984;71(3):219-222.
7. Gregg RO. Bypass or amputation? Concomitant review of bypass arterial grafting and major amputations. Am J Surg 1985;149(3):397-402.
8. Valentine RJ, Myers SI, Inman MH, et al. Late outcome of amputees with premature atherosclerosis. Surgery 1996;119(5):487-493.
9. Ecker ML, Jacobs BS. Lower extremity amputation in diabetic patients. Diabetes 1970;19(3):189-195.
10. Hoar CS, Jr., Torres J. Evaluation of below-the-knee amputation in the treatment of diabetic gangrene. N Engl J Med 1962;266:440-443.
11. Robinson KP. Long posterior flap amputation in geriatric patients with ischaemic disease. Ann R Coll Surg Engl 1976;58(6):440-451.
12. Kelly PJ, Janes JM. Criteria for determining the proper level of amputation in occlusive vascular disease; a review of 323 amputations. J Bone Joint Surg Am 1957;39-A(4):883-890.
13. Finch DR, Macdougal M, Tibbs DJ, et al. Amputation for vascular disease: the experience of a peripheral vascular unit. Br J Surg 1980;67(4):233-237.
14. Taylor SM, Kalbaugh CA, Blackhurst DW, et al. Preoperative clinical factors predict postoperative functional outcomes after major lower limb amputation: an analysis of 553 consecutive patients. J Vasc Surg 2005;42(2):227-235.
15. Eneroth M. Factors affecting wound healing after major amputation for vascular disease: a review. Prosthet Orthot Int 1999;23(3):195-208.
16. The Scottish Area Deprivation Index for Scottish Postcode Sectors. Central Research Unit of Scottish Executive. 1998. Scottish Executive.
17. Carstairs V, Morris R. Deprivation and health in Scotland. Health Bull.(Edinb) 1990;48(4):162-175.
18. Morris R, Carstairs V. Which deprivation? A comparison of selected deprivation indexes. J Public Health Med 1991;13(4):318-326.
19. Rutherford RB, Flanigan DP, Gupta SK, et al. Ad hoc Committee on Reporting Standards. Suggested standards for reports dealing with lower extremity ischaemia. J Vasc Surg 1986;4:80-94.
20. Haynes IG, Middleton MD. Amputation for peripheral vascular disease: experience of a district general hospital. Ann R Coll Surg Engl 1981;63(5):342-344.
21. Harrison JD, Southworth S, Callum KG. Experience with the 'skew flap' below-knee amputation. Br J Surg 1987;74(10):930-931.
22. Silverman DG, Roberts A, Reilly CA, et al. Fluorometric quantification of low-dose fluorescein delivery to predict amputation site healing. Surgery 1987;101(3):335-341.
23. Creaney MG, Chattopadhaya DK, Ward AS, et al. Doppler ultrasound in the assessment of amputation level. J R Coll Surg Edinb 1981;26(5):278-281.
24. Baddeley RM, Fulford JC. A trial of conservative amputations for lesions of the feet in diabetes mellitus. Br J Surg 1965;52:38-43.
25. Dormandy J, Belcher G, Broos P, et al. Prospective study of 713 below-knee amputations for ischaemia and the effect of a prostacyclin analogue on healing. Hawaii Study Group. Br J Surg 1994;81(1):33-37.
26. Roon AJ, Moore WS, Goldstone J. Below-knee amputation: a modern approach. Am J Surg 1977;134(1):153-158.
27. Nicholas GG, Myers JL, DeMuth WE, Jr. The role of vascular laboratory criteria in the selection of patients for lower extremity amputation. Ann Surg 1982;195(4):469-473.
28. O'Dwyer KJ, Edwards MH. The association between lowest palpable pulse and wound healing in below knee amputations. Ann R Coll Surg Engl 1985;67(4):232-234.
29. Dwars BJ, van den Broek TA, Rauwerda JA, et al. Criteria for reliable selection of the lowest level of amputation in peripheral vascular disease. J Vasc Surg 1992;15(3):536-542.
30. Behar TA, Burnham SJ, Johnson G, Jr. Major stump trauma following below-knee amputation. Outcome and recommendations for therapy. J Cardiovasc Surg (Torino) 1991;32(6):753-756.
31. Dormandy JA, Stock G. (1990) Critical leg ischaemia. Its pathophysiology and management. European Consensus Document on Critical leg Ischaemia Springer, Berlin Heidelberg New York.
32. Wolfe JN. Defining the outcome of critical ischaemia: a one year prospective study. Br J Surg 1986;73:321-329.
33. Eneroth M, Persson BM. Risk factors for failed healing in amputation for vascular disease. A prospective, consecutive study of 177 cases. Acta Orthop Scand 1993;64(3):369-372.
34. Kacy SS, Wolma FJ, Flye MW. Factors affecting the results of below knee amputation in patients with and without diabetes. Surg Gynecol Obstet 1982;155(4):513-518.
35. Feinglass J, Kaushik S, Handel D, et al. Peripheral bypass surgery and amputation: northern Illinois demographics, 1993 to 1997. Arch Surg 2000;135(1):75-80.
36. Smith GD, Hart C, Watt G, et al. Individual social class, area-based deprivation, cardiovascular disease risk factors, and mortality: the Renfrew and Paisley Study. J Epidemiol Community Health 1998;52(6):399-405.
37. Hart CL, Smith GD, Blane D. Social mobility and 21 year mortality in a cohort of Scottish men. Soc Sci Med 1998;47(8):1121-1130.
38. Chalmers J, Capewell S. Deprivation, disease, and death in Scotland: graphical display of survival of a cohort. BMJ 2001;323(7319):967-968.
39. van den Broek TA, Dwars BJ, Rauwerda JA, et al. A multivariate analysis of determinants of wound healing in patients after amputation for peripheral vascular disease. Eur J Vasc Surg 1990;4(3):291-295.