Amputation an den unteren Extremitäten - Unterschenkel: Indikation, Technik

Abstract

The preservation of the knee joint in the concept of lower extremity amputations is one of the most important prerequisites for obtaining a successful rehabilitation outcome. A transtibial amputation level offers the best possibilities; However, not every surgical procedure is suitable, particularly not for the most common aetiology of chronic arterial occlusive disease (90%). Surgical techniques are presented according to indications, starting distally with the Syme’s amputation through to the structuring of ultrashort transtibial amputation stump levels. In cases where the formation of a long transtibial stump is not possible we recommend for all indications the “standardized transtibial amputation according to Brückner” that was developed on the basis of objective parameters.