Difference between revisions of "Leg amputations"
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*Trauma. | *Trauma. | ||
*Infection - see ''[[chronic osteomyelitis]]''. | *Infection - see ''[[chronic osteomyelitis]]''. | ||
*Drug use, e.g. [[cocaine]].<ref name=pmid17059855/> | *Drug use, e.g. [[cocaine]].<ref name=pmid17059855>{{cite journal |author=Dhawan SS, Wang BW |title=Four-extremity gangrene associated with crack cocaine abuse |journal=Ann Emerg Med |volume=49 |issue=2 |pages=186–9 |year=2007 |month=February |pmid=17059855 |doi=10.1016/j.annemergmed.2006.08.001 |url=}}<ref> | ||
==Grossing== | ==Grossing== | ||
Revision as of 17:58, 18 June 2014
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.<ref name=pmid17059855>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.<ref>
Grossing
- Dimensions.
- Resection margin: appears viable.
- Intactness: all appendages present.
- Hair: present/absent.
- Ulcer: present/absent, location, size.
- Skin changes: shiny, gangrenous.
- Skin lesions: present/absent.
- Nails: within normal limits/colour change.
- Vessels: examined? vascular disease?
- Muscle wasting: present/absent.