{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T09:11:55Z","timestamp":1790413915670,"version":"4.1.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[1989,6,1]],"date-time":"1989-06-01T00:00:00Z","timestamp":612662400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1989,6,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>A study of 169 unilateral amputees under three Disablement Services Centres was performed. The study comprised 88 above-knee, 54 through-knee and 27 Gritti-Stokes amputations. Satisfactory rehabilitation occurred in 33 per cent of above-knee, 62 per cent of through-knee and 44 per cent of Gritti\u2014Stokes patients (56 per cent overall). The better rehabilitation of through-knee versus above-knee amputees (P &amp;lt; 0\u00b702) was also found in a group of patients matched for comparable age and duration of amputation as well as in a group of age-matched vascular amputees. Through-knee amputees relied significantly less on wheelchairs than above-knee (P = 0\u00b7016) and Gritti\u2014Stokes (P = 0\u00b705) amputees. The prosthesis used for the through-knee and Gritti\u2014Stokes amputations was considered unsightly in 50 per cent of cases (versus 31 per cent for the above-knee prosthesis).<\/jats:p>\n               <jats:p>The superior rehabilitation with through-knee amputations should prompt us to improve both our technique for this amputation and the prostheses currently available. A through-knee amputation should be performed in preference to an above-knee amputation in the case where either is surgically possible, and a below-knee amputation not feasible.<\/jats:p>","DOI":"10.1002\/bjs.1800760633","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:24:05Z","timestamp":1172928245000},"page":"622-624","source":"Crossref","is-referenced-by-count":64,"title":["Rehabilitation after lower limb amputation: A comparative study of above-knee, through-knee and Gritti\u2014Stokes amputations"],"prefix":"10.1093","volume":"76","author":[{"given":"A","family":"Houghton","sequence":"first","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A","family":"Allen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Luff","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"McColl","sequence":"additional","affiliation":[{"name":"Department of Surgery, Guy's Hospital , London SE1,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1989,6,1]]},"reference":[{"key":"2024092807294879900_bib1","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1136\/bmj.296.6630.1185","article-title":"Artificial limbs","volume":"296","author":"Gotter","year":"1988","journal-title":"Br Med J"},{"key":"2024092807294879900_bib2","doi-asserted-by":"crossref","first-page":"930","DOI":"10.1002\/bjs.1800741017","article-title":"Experience with the \u2018skew flap\u2019 below knee amputation","volume":"74","author":"Harrison","year":"1987","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib3","first-page":"1","article-title":"A prospective randomised comparison of healing in Gritti-Stokes and through-knee amputations","volume":"68","author":"Campbell","year":"1986","journal-title":"Annals Roy Coll Surg"},{"key":"2024092807294879900_bib4","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1016\/0002-9610(77)90133-7","article-title":"Natural history of the leg amputee","volume":"133","author":"Couch","year":"1977","journal-title":"Am J Surg"},{"key":"2024092807294879900_bib5","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1002\/bjs.1800710320","article-title":"Prediction of amputation wound healing: the role of transcutaneous PO2 assessment","volume":"71","author":"Ratcliff","year":"1984","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib6","first-page":"13","article-title":"An index of healing in below knee amputation: leg blood pressure by Doppler ultrasound","volume":"79","author":"Barnes","year":"1976","journal-title":"Surgery"},{"key":"2024092807294879900_bib7","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1002\/bjs.1800730908","article-title":"Changing pattern of lower limb amputation for vascular disease","volume":"73","author":"Sethia","year":"1986","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib8","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1002\/bjs.1800650219","article-title":"The Gritti-Stokes amputation in ischaemia: a review of 134 cases","volume":"65","author":"Doran","year":"1978","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib9","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1136\/bmj.2.5304.574","article-title":"Clinical review of the Gritti-Stokes amputation","volume":"2","author":"Middleton","year":"1962","journal-title":"Br Med J"},{"key":"2024092807294879900_bib10","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1002\/bjs.1800590404","article-title":"Through-knee amputation","volume":"59","author":"Newcombe","year":"1972","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib11","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1002\/bjs.1800591106","article-title":"An assessment of above and through-knee amputations","volume":"59","author":"Green","year":"1972","journal-title":"Br J Surg"},{"key":"2024092807294879900_bib12","first-page":"315","article-title":"Lower limb amputation in elderly patients","volume":"30","author":"Harris","year":"1987","journal-title":"Can J Surg"},{"key":"2024092807294879900_bib13","volume-title":"Amputation statistics for England, Wales and Northern Ireland. 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