Failed femorocrural reconstruction does not prejudice amputation level

摘要: From January 1985 to December 1989, 500 consecutive patients presented a single vascular unit with limb-threatening acute or critical ischaemia. Vascular reconstruction was attempted unless the patient had insufficient viable tissue permit weight bearing complete absence of run-off vessels in calf. Fifty underwent primary amputation and 450 reconstruction, whom 265 femorocrural bypass. Sixty secondary amputations were performed following bypass failure. The below-knee above-knee ratio (BKA:AKA) 2.0 group 1.1 group. Direct comparison between two groups is not valid as they are clinically different. combined BKA:AKA 1.4. This compares favourably recent published series figures from National Amputation Limb Fitting Services. It suggests that an unselective policy for ischaemia does lead higher proportion amputations.