Amputation

Question 1

Define a major amputatoin

Answer 1

Amputation proximal to the tarsometatarsal joint

Question 2

Define a minor amputation

Answer 2

Amputation distal to the tarsometatarsal joint

Question 3

Differentiate primary vs secondary limb amputation

Answer 3

Primary - no attempt at limb salvage

Secondary - failed limb salvage

Question 3

Differentiate primary vs secondary limb amputation

Answer 3

Primary - no attempt at limb salvage

Secondary - failed limb salvage

Question 4

Name indications for primary amputation

Answer 4

1. Overwhelming infection
2. Uncontrollable rest pain
3. Extensive necrosis
4. Fixed flexion contractures
5. High surgical risk

Question 5

Name indications for secondary amputation

Answer 5

Non-reconstructable vascular disease

Persistent infection

Question 6

What questions should be asked when seeing a patient with limb ischemia?

Answer 6

1. Duration
2. Pathology
3. Severity
4. Level
5. Surgical indications
6. Patient fit for surgery
7. Amputation vs revascularisation
8. Intervention type
9. Systemic manifestations of atherosclerosis