|Above the Knee Amputation|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
Peripheral arterial disease
- Untreatable pain
- Severe soft tissue infection
- Severe trauma that can not be repaired
- Complications of diabetes
- Untreatable bone infection ( osteomyelitis )
- Malignant tumor
- Congenital deformity (present at birth)
- Severe frostbite
- Complications of connective tissue diseases, such as:
- Poor healing at amputation site, resulting in the need for a higher level of amputation
- Skin breakdown
- Swelling at surgical site
- Phantom limb pain —feeling pain in amputated limb area
- Phantom sensation—feeling that amputated limb is still there
- Blood clots
- Complications of anesthesia
- Peripheral vascular disease
- Prolonged immobility
- Heart disease
- Smoking or lung disease
- Blood clotting disorders
- Certain medicines (eg, steroids)
What to Expect
Prior to Procedure
- X-rays —a test that uses radiation to take a picture of structures inside the body, especially bones
- CT scan —a type of x-ray that uses a computer to make pictures of structures inside the body
- MRI scan —a test that uses magnetic waves to make pictures of structures inside the body
- Bone scan to check for infection
- Tissue cultures
- Blood tests
- Heart evaluation
- Preoperative antibiotics
- Tests to evaluate blood flow in the part of the body that is being amputated
- Arrange for a ride home from the hospital.
- Arrange for help at home after your surgery.
- Follow instructions for eating before surgery—usually nothing after midnight.
- You may be asked to use an antibacterial soap the morning of your surgery.
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Foot or toe amputation: 2-7 days
- Leg amputation: 2 days to 2 weeks
- Upper extremity: 7-12 days
- Finger amputation: 0-1 day
- The area involved will be elevated. This will decrease swelling.
- Your limb will be dressed in bulky dressing, elastic bandage, or cast.
- You will be encouraged to get up and walk as soon as possible.
- Physical therapy will begin within a day or two of surgery. It will focus on improving strength and mobility.
- You may wear a cast or special shoe for toe/foot amputations.
- You may be given certain medicines. This may include antibiotics or blood thinners.
- You will be fitted with a prosthesis as soon as your wound has healed.
- If you smoke, quit . Smoking can interfere with healing.
- Follow the instructions for keeping your incision clean .
- Follow instructions on how to care for your prosthesis.
- Counseling may be recommended for the emotional trauma of an amputation.
- Attend follow up appointments with your doctor. They will make sure you are healing well.
- Check with your doctor about which medicines to take at home.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
- Increasing or excessive pain
- Cough, shortness of breath, or chest pain
- Severe nausea and vomiting
American Academy of Orthopaedic Surgeons http://www.aaos.org/
Amputee Coalition of America http://www.amputee-coalition.org/
Society for Vascular Surgery http://www.vascularweb.org/
The Canadian Orthopaedic Foot & Ankle Association http://www.coa-aco.org/
Canadian Orthopaedic Foundation http://www.canorth.org/
Amputation. Society for Vascular Surgery website. Available at: http://www.vascularweb.org/patients/NorthPoint/Amputation.html . Accessed November 17, 2008.
Amputation of the foot or toe. EBSCO Health Library website. Available at: http://healthlibrary.epnet.com/GetContent.aspx?token=D39207C8-9100-4DC0-9027-9AC6BA11942D&chunkiid=14763 . Accessed November 17, 2008.
Amputation of the hand or finger and prosthetics. American Society for Surgery of the Hand website. Available at: http://www.assh.org/Content/NavigationMenu/PatientsPublic/HandConditions/AmputationandProsthetics/Amputation%5Fand%5FPros.htm . Accessed November 17, 2008.
Badash M. Amputation, Above the knee. EBSCO Health Library website. Available at: http://healthlibrary.epnet.com/GetContent.aspx?token=D39207C8-9100-4DC0-9027-9AC6BA11942D&chunkiid=14822 . Accessed November 17, 2008.
Bone Sarcoma in the Upper Extremity: Treatment Options Using Limb Salvage or Amputation. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00092#Rehabilitation/Convalescence . Accessed November 18, 2008.
Buerger’s disease: what is it? Vascular Disease Foundation website. Available at: http://www.vdf.org/diseaseinfo/buergers/ . Updated October 31, 2008. Accessed December 16, 2008.
Fingertip injuries/amputations. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00014 . Accessed November 18, 2008.
- Reviewer: John C. Keel, MD
- Review Date: 12/2012 -
- Update Date: 12/30/2012 -