Leg - Transtibial Amputation
This Leg – Transtibial Amputation course will teach you:
- To completely remove the foot, including the ankle joint. Indications for the procedure include severe trauma to the limb, poor blood flow to the limb, severe and ongoing infections, tumors, severe burns or frostbite and loss of function.
Special attention is paid to the following hazards you may encounter during the Leg – Transtibial Amputation:
- Prevention of skin irritation by bone
- Avoid skin damage during sawing of the bone
- Preserve the fascia of the gastrocnemius muscle
- Prevention of ischaemia of the skin flap
With the following tips you might perform the Leg – Transtibial Amputation even better:
- Length posterior flap
- Transection of the saphenous nerve under traction
- Anterior neurovascular bundle identification
- Vessel separation before ligation to avoid arteriovenous fistulas or aneurysms
- Edema prevention by usage of a bandage
After studying the Leg – Transtibial Amputation course you are familiar with the most common complications:
- Stump edema
- Phantom pain
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Step by step
Mark the medial joint line, the patella, the tibial tubercle and the lateral joint line. Then mark the skin both lateral and medial about 15 cm under the joint line (10 cm from tibial tubercle). The length of the posterior flap should be half the circumference of the limb from the heretofore mentioned marking + 3 cm. Mark the medial and lateral endpoints of the posterior flap distally. Then draw a line from medial to lateral connecting the two incision marks. Finally connect the two marking points on the lateral and medial side longitudinally .
Incise the skin following the previously made markings.
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