|Above the Knee Amputation|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
Peripheral arterial disease
- Untreatable pain
- Severe soft tissue infection
- Severe trauma that cannot be repaired
- Complications of diabetes
- Untreatable bone infection such as osteomyelitis
- Malignant tumor
- Congenital deformity (present at birth)
- Severe frostbite
Complications of connective tissue diseases, such as:
- Poor healing at amputation site, resulting in the need for a higher level of amputation
- Skin breakdown
- Swelling at surgical site
- Phantom limb pain —feeling pain in amputated limb area
- Phantom sensation—feeling that amputated limb is still there
- Blood clots
- Complications of anesthesia
What to Expect
Prior to Procedure
- Imaging studies to look at the bones and surrounding tissue for evidence and location of disease or trauma, including:
- Tissue cultures
- Blood tests
- Heart evaluation
- Preoperative antibiotics
- Tests to evaluate blood flow in the part of the body that is being amputated
- Arrange for a ride home from the hospital.
- Arrange for help at home after your surgery.
- Follow instructions for eating before surgery—usually nothing after midnight.
- You may be asked to use an antibacterial soap the morning of your surgery.
Description of Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- Foot or toe amputation: 2-7 days
- Leg amputation: 2 days to 2 weeks or more
- Upper extremity: 7-12 days
- Finger amputation: 0-1 day
- The area involved will be elevated. This will decrease swelling.
- Your limb will be dressed in bulky dressing, elastic bandage, or cast.
- You will be encouraged to get up and walk as soon as possible.
- Physical therapy will begin within a day or 2 of surgery. It will focus on improving strength and mobility.
- You may wear a cast or special shoe for toe/foot amputations.
- You may be given certain medications. This may include antibiotics or blood thinners.
- You will be fitted with a prosthesis as soon as your wound has healed.
- Washing their hands
- Wearing gloves or masks
- Keeping your incisions covered
- Washing your hands often and reminding your healthcare providers to do the same
- Reminding your healthcare providers to wear gloves or masks
- Not allowing others to touch your incision
- Counseling may be recommended for the emotional trauma of an amputation.
- Attend follow up appointments with your doctor. They will make sure you are healing well.
- Maintain a healthy body weight for overall health and to make sure your prosthesis fits well.
Call Your Doctor
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or discharge from the incision sites
- Increasing or excessive pain
- Cough, shortness of breath, or chest pain
- Severe nausea and vomiting
American Academy of Orthopaedic Surgeons http://www.aaos.org
Amputee Coalition of America http://www.amputee-coalition.org
The Canadian Orthopaedic Foot & Ankle Association http://www.coa-aco.org
Canadian Orthopaedic Foundation http://www.canorth.org
Bone sarcoma in the upper extremity: treatment options using limb salvage or amputation. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00092#Rehabilitation/Convalescence. Updated October 2007. Accessed December 5, 2014.
Fingertip injuries/amputations. American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00014. Updated August 2011. Accessed December 5, 2014.
- Reviewer: Michael Woods, MD
- Review Date: 12/2014 -
- Update Date: 12/20/2014 -