Gallstones / Laparoscopic cholecystectomy
Excess sweating / Facial Flushing
Complex Venous Surgery
TIAs / Mini Strokes
Carotid Artery Surgery
Peripheral Arterial Disease
Neuropathic / Diabetic
Major Lower Limb Amputations
Cardio-Pulmonary Exercise Testing (CPEX) and Major Surgery
High Altitude Medicine
High Altitude Gallery
Acute Mountain Sickness
Non-Freezing Cold Injury
Cho Oyu Tibet
Major lower limb amputations
There are approximately 5-6000 major lower limb amputations undertaken per year in the UK.
are performed for peripheral vascular disease
for malignant disease
for chronic pain, congenital deformity and other causes
below knee amputees will walk again
above knee amputees will walk again
Outcome: Variable but depends on age, reason for amputation and co-existing disease
Below Knee Amputation
This young man in his twenties sustained major injuries to his ankle as a result of trauma.
17 orthopaedic operations later he remained off work and unable to walk more than 25 metres because of a deformed ankle.
The patient was assessed in our multi-disciplinary clinic and a decision to proceed with a below knee amputation was made.
Surgery was more difficult than usual because of the extensive previous skin grafting. A modified skin flap was felt to be most appropriate.
The patient made a full recovery.
He has returned to a very active life including normal work, canoeing and hill walking (he covered 24kms over mountain terrain within 4 months of surgery).
Click on image to enlarge
Before the surgery
7 days post-op
14 days post-op
14 days post-op
3 months post-op
Stump with stocking ready
to insert into prosthetic limb
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© Christopher Imray