[Transtibial amputation].

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Abstract

[Indexed for MEDLINE] 15. Orthopade. 2020 May;49(5):461-470. doi: 10.1007/s00132-020-03906-8. [Amputations around the knee]. [Article in German] Lazic I(1), Knebel C(2), Consalvo S(2), Rechl H(2), von Eisenhart-Rothe R(2), Lenze U(2). Author information: (1)Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. Igor.Lazic@mri.tum.de. (2)Klinik und Poliklinik für Orthopädie und Sportorthopädie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Str. 22, 81675, München, Deutschland. 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. DOI: 10.1007/s00132-020-03906-8