Leg amputations
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Leg amputations are typically seen in the context of peripheral vascular disease.
General - overview
Comes in two basic flavours:
- Above the knee ampuation (AKA).
- Below the knee ampuation (BKA).
Etiology:
- Diabetes mellitus - most common - see atherosclerotic peripheral vascular disease.
- Trauma.
- Infection - see chronic osteomyelitis.
- Drug use, e.g. cocaine.[1]
Grossing
- Type of specimen: above knee/below knee.
- Dimensions.
- Resection margin: appears viable.
- Intactness: all appendages present.
- Hair: present/absent.
- Ulcer/injury/scars: present/absent, location, size.
- Skin changes: none apparent, shiny, gangrenous.
- Skin lesions: present/absent.
- Nails: within normal limits/colour change.
- Vessels: examined? vascular disease?
- Muscle wasting: present/absent.
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See also
References
- ↑ Dhawan SS, Wang BW (February 2007). "Four-extremity gangrene associated with crack cocaine abuse". Ann Emerg Med 49 (2): 186–9. doi:10.1016/j.annemergmed.2006.08.001. PMID 17059855.