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Trauma
intermediate
X-Type

Lower Limb Amputation Levels

Amputation Surgery

A 58-year-old diabetic male with peripheral vascular disease presents with non-reconstructable critical limb ischemia of the right leg. Angiography shows no viable runoff vessels below the popliteal artery. The foot has dry gangrene of the forefoot with demarcation at the midfoot level. The knee joint is well-preserved with good quadriceps function. Regarding lower limb amputation level selection:

Mark each as TRUE or FALSE

A

Below-knee amputation (BKA) is preferred over above-knee amputation (AKA) when feasible because it p...

B

The ideal BKA stump length is 12-15 cm below the knee joint (or one-third of tibial length); this pr...

C

Syme amputation is the preferred level for dysvascular patients because it provides excellent weight...

D

Transcutaneous oxygen tension (TcPO2) measurement helps predict wound healing potential; values grea...

E

Post-operative complications of BKA include wound infection (10-15%), wound dehiscence, stump revisi...

Answer the questions to see explanations

Click T (True) or F (False) for each option