BELOW 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 Long Posterior Flap carried from skin through subcutaneous tissue

Ø      Superficial vessels ligated

Ø      Anterior muscle group cut; bleeders ligated

Ø      Anterior tibial vessels individually identified, divided and doubly ligated

Ø      Deep peroneal nerve ligated proximally

Ø      Lateral muscle group cut; bleeders ligated

Ø      Posterior tibial vessels identified at the posteromedial aspect of tibia, individually identified and doubly ligated

Ø      Posterior tibial nerve highly ligated

Ø      Periosteum of tibia-fibula elevated

Ø      Tibia-fibula individually cut with Giggli saw

Ø      Fibular vessels identified individually, divided, and ligated

Ø      Posterior muscle group cut; bleeders ligated

Ø      Edges of tibia-fibular stump bone filed

Ø      NSS wash

Ø      Hemostasis

Ø      Posterior myofascial flap sutured with the anterior myofascial flap by figure of eight vicryl 0 sutures

Ø      Subcutaneous tissue approximated with inverted T sutures using chromic 2.0

Ø      Skin closed interruptedly using nylon 4.0

Ø      Betadine paint

Ø      Dry sterile dressing applied.