Amputations in Developing Countries

Abstract

Techniques of proved value for amputations in developing countries are described. In the lower limb the sites of election are Syme's below-knee (kneeling-peg), and through the knee, either disarticulation or transcondylar. In the upper limb as much length as possible should be saved, provided the stump is covered with healthy skin. Closure of amputation wounds should be either by delayed primary or secondary suture. Immediate closure is often dangerous. There are virtually no indications for guillotine amputations. A Long-John-Silver peg-leg prosthesis if sturdily constructed is of great value. © 1966, British Medical Journal Publishing Group. All rights reserved.