The potential benefit of pre-operative assessment of amputation wound healing potential in peripheral vascular disease

  • M. Mars
  • R. P. Mills
  • J. V. Robbs

Abstract

Choosing the most distal amputation level that will heal is difficult in patients with peripheral vascular disease. From 1984 to 1988,965 patients underwent 1 563 amputations for lower limb peripheral vascular disease at King Edward VIII Hospital, Durban. The primary amputation revision rate was 51% with a mortality rate of 23,1%. Random pre-operative assessment of amputation wound healing potential using a transcutaneous oxygen pressure index was investigated over the 4-year period, 1987 - 1990. This was responsible for a reduction in the amputation revision rate to 8,2% in patients tested.

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eISSN: 0256-95749
print ISSN: 2078-5135