ABOVE THE KNEE AMPUTATION

Operative Technique

Patient supine under SAB/CLEA/General Anesthesia

Asepsis and antisepsis technique

Sterile drapes placed

Incision made creating anterior and posterior skin flaps on the thigh

Superficial vessels cut and ligated

Flaps of skin and subcutaneous tissue reflected proximally

Quadriceps muscles cut; bleeders ligated

Femoral vessels and nerve identified at the subsartorial canal;

Femoral vessels individually identified, divided and doubly ligated

Posterior muscle group cut; bleeders ligated

Sciatic nerve identified divided and ligated

Periosteum of femur elevated

Femur cut with bone saw

Edges of stump bone filed

NSS wash

Hemostasis

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

Subcutaneous tissue approximated by inverted T sutures using chromic 2.0

Skin closed interruptedly

Betadine paint

Dry sterile dressing placed.