Leg - Transtibial Amputation
Norgren L, Hiatt WR, Dormandy JA, et al.; on behalf of the TASC II Working Group. Inter-society consensus for the management of peripheral arterial disease (TASC II). J Vasc Surg 2007; 45(1): S5a–S66a.
The Rehabilitation of Lower Limb Amputation Working Group, Department of Veterans Affairs and Department of Defense. VA/DoD clinical practice guideline for rehabilitation of lower limb amputation. Version 1.0, 2007.
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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