[Amputations around the knee]. / Kniegelenknahe Amputationen.
Orthopade
; 49(5): 461-470, 2020 May.
Article
em De
| MEDLINE
| ID: mdl-32266433
ABSTRACT
An amputation around, through or below the knee joint constitutes a "huge" change in a patient's life. In Orthopaedics, amputations are most frequently performed in cases with musculoskeletal tumours or failed total knee arthroplasty. A multidisciplinary team approach (surgeon, anaesthetist, pain specialists, orthotist, psychologist etc.) and patient-specific treatment regime from the outset as well as a meticulous surgical technique are of the outmost importance. Nowadays, prosthetic legs can be fitted for nearly any amputation level. The functional outcome of amputations below the knee is usually superior to amputations above or through the knee joint. Postoperative stump conditioning is paramount and the final prosthetic leg should not be fitted earlier than 4-6 months postoperatively. Problems with wound healing, muscle contractures and phantom limb pain represent common complications which might adversely affect patient outcomes.
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Base de dados:
MEDLINE
Assunto principal:
Membro Fantasma
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Artroplastia do Joelho
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Amputação Cirúrgica
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Cotos de Amputação
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Joelho
Limite:
Humans
Idioma:
De
Ano de publicação:
2020
Tipo de documento:
Article