Above the Knee Amputation

index

table of contents

my operations

How I did It?

Operative Technique

Ø      Patient supine under SAB/CLEA/General Anesthesia

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Incision made creating anterior and posterior skin flaps on the thigh

Ø      Superficial vessels cut and ligated

Ø      Flaps of skin and subcutaneous tissue reflected proximally

Ø      Quadriceps muscles cut; bleeders ligated

Ø      Femoral vessels and nerve identified at the subsartorial canal;

Ø      Femoral vessels individually identified, divided and doubly ligated

Ø      Posterior muscle group cut; bleeders ligated

Ø      Sciatic nerve identified divided and ligated

Ø      Periosteum of femur elevated

Ø      Femur cut with bone saw

Ø      Edges of stump bone filed

Ø      NSS wash

Ø      Hemostasis

Ø      Anterior and posterior myofascial flap sutured with figure of eight using vicryl 0

Ø      Subcutaneous tissue approximated by inverted T sutures using chromic 2.0

Ø      Skin closed interruptedly

Ø      Betadine paint

Ø      Dry sterile dressing placed.