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Amputation in elderly and high-risk vascular patients


Fifty-eight patients underwent lower limb amputation for arterial disease over a 30-month period. Mean age of the patients was 72 years. Cardiopulmonary and metabolic risk factors were present in the majority of the patients. Postoperative one-year and three-year mortality rates were 24, 40, and 76%, respectively. Contralateral amputation was required in one-third of the patients after a mean period of eight months. Only younger and healthier patients returned to a meaningful social life after appropriate prosthetic fitting. In view of the high mortality and morbidity rates, above-knee amputation seems a better choice than below-knee amputation in these elderly and high-risk patients.

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Greant, P., Van den Brande, P. Amputation in elderly and high-risk vascular patients. Annals of Vascular Surgery 4, 288–290 (1990).

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Key words

  • Amputation
  • peripheral arterial disease
  • complications
  • elderly and high-risk patients