Page 57 - Virtual Vascular Vol 17
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Treatment:
(Ref: Halliday, A., & Bax, J. J. (2018). The 2017 ESC Guidelines on the Diagnosis and Treatment of Peripheral Arterial Diseases, in Collaboration With the European
Society for Vascular Surgery (ESVS). European Journal of Vascular and Endovascular Surgery, 55(3), 301–302. https://doi.org/10.1016/j.ejvs.2018.03.004)
Indications for amputation:
Think: 3 ‘D’s
- Dead (acute or chronic limb ischemia, either failed
revascularization or no revascularization option available)
- Dangerous (crush injury, necrotising fasciitis, gas gangrene,
tumor)
- Damn Nuisance (useless, insensate limb)
Complications of amputation:
- Early: stump haematoma, flap necrosis, infection, stump trauma
from falls, wound-related pain
- Late: neuroma formation, osteomyelitis, bony erosion, ulceration,
ongoing ischaemia, phantom limb pain, joint contractures 57
