Principles of Amputation

Indications for Amputation

Amputation is a surgical intervention performed to remove a limb or extremity due to various medical conditions. It is considered when limb salvage is not viable, and the procedure can enhance the patient’s quality of life.

Common Indications

• Severe Trauma: Irreparable limb damage due to accidents or injuries.
• Peripheral Vascular Disease (PVD): Chronic conditions leading to ischemia and necrosis.
• Diabetes-Related Complications: Uncontrolled diabetes resulting in infections or gangrene.
• Malignancies: Bone or soft tissue tumors that necessitate limb removal.
• Infections: Uncontrolled osteomyelitis or necrotizing fasciitis.

Surgical Considerations

Amputation planning involves assessing the level of limb removal, post-operative rehabilitation, and prosthetic integration. Surgeons aim to preserve as much viable tissue as possible while ensuring functionality.

Post-Amputation Rehabilitation

Physical therapy and psychological counseling are integral in helping patients adapt. Prosthetics and assistive devices significantly improve mobility and independence.