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Amputations due to lower-limb ischemia. Analysis of a 3-year series

Larsson, P A LU and Risberg, Bo (1988) In Acta Chirurgica Scandinavica 154(4). p.70-267
Abstract

Lower-limb amputation was performed on 261 patients from a catchment population of 232,500 in 1984-1986, and 253 of the amputees were retrospectively followed up. In 241 cases amputation was performed because of threatening or manifest gangrene, 95 of them without preceding consultation with vascular surgeons. In 19 cases amputation followed thromboembolectomy. Of the 127 patients seen by vascular surgeons, 66 were judged to be unsuitable for reconstructive surgery, 22 because of poor general health and 44 because of contraindicating vascular status. In the 61 patients with vascular reconstruction prior to amputation, the level of amputation did not differ from that in patients without such antecedent surgery. The proportion of cases... (More)

Lower-limb amputation was performed on 261 patients from a catchment population of 232,500 in 1984-1986, and 253 of the amputees were retrospectively followed up. In 241 cases amputation was performed because of threatening or manifest gangrene, 95 of them without preceding consultation with vascular surgeons. In 19 cases amputation followed thromboembolectomy. Of the 127 patients seen by vascular surgeons, 66 were judged to be unsuitable for reconstructive surgery, 22 because of poor general health and 44 because of contraindicating vascular status. In the 61 patients with vascular reconstruction prior to amputation, the level of amputation did not differ from that in patients without such antecedent surgery. The proportion of cases rejected for vascular surgery rose from 18% in 1984 to 33% in 1986. The need for amputation could probably be reduced by earlier detection and vascular surgical evaluation of arterial insufficiency.

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author
publishing date
type
Contribution to journal
publication status
published
keywords
Adult, Aged, Amputation, Female, Humans, Ischemia, Leg, Male, Middle Aged, Retrospective Studies, Vascular Surgical Procedures, Journal Article
in
Acta Chirurgica Scandinavica
volume
154
issue
4
pages
4 pages
publisher
Almqvist & Wiksell
external identifiers
  • scopus:0023924691
ISSN
0001-5482
language
English
LU publication?
no
id
835fd1b6-360d-4ce7-b8d4-bac634e92686
date added to LUP
2017-06-10 08:46:34
date last changed
2017-06-18 05:06:31
@article{835fd1b6-360d-4ce7-b8d4-bac634e92686,
  abstract     = {<p>Lower-limb amputation was performed on 261 patients from a catchment population of 232,500 in 1984-1986, and 253 of the amputees were retrospectively followed up. In 241 cases amputation was performed because of threatening or manifest gangrene, 95 of them without preceding consultation with vascular surgeons. In 19 cases amputation followed thromboembolectomy. Of the 127 patients seen by vascular surgeons, 66 were judged to be unsuitable for reconstructive surgery, 22 because of poor general health and 44 because of contraindicating vascular status. In the 61 patients with vascular reconstruction prior to amputation, the level of amputation did not differ from that in patients without such antecedent surgery. The proportion of cases rejected for vascular surgery rose from 18% in 1984 to 33% in 1986. The need for amputation could probably be reduced by earlier detection and vascular surgical evaluation of arterial insufficiency.</p>},
  author       = {Larsson, P A and Risberg, Bo},
  issn         = {0001-5482},
  keyword      = {Adult,Aged,Amputation,Female,Humans,Ischemia,Leg,Male,Middle Aged,Retrospective Studies,Vascular Surgical Procedures,Journal Article},
  language     = {eng},
  number       = {4},
  pages        = {70--267},
  publisher    = {Almqvist & Wiksell},
  series       = {Acta Chirurgica Scandinavica},
  title        = {Amputations due to lower-limb ischemia. Analysis of a 3-year series},
  volume       = {154},
  year         = {1988},
}