{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,12]],"date-time":"2026-01-12T08:45:15Z","timestamp":1768207515726,"version":"3.49.0"},"reference-count":17,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1990,10,1]],"date-time":"1990-10-01T00:00:00Z","timestamp":654739200000},"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":[[1990,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>During a 10-year period 104 patients (mean age 72 years) had 106 through-knee amputations. Indications for surgery were: limb gangrene, 67 (64 per cent); ischaemic ulceration, 22 (21 per cent); rest pain, 9; knee contractures, 6. Thirty patients had had previous unsuccessful vascular reconstructive surgery and five had had a failed femoral embolectomy. The through-knee disarticulation used lateral skin flaps. The mortality was 21 (20 per cent). Of the 83 survivors, 59 (71 per cent) underwent uncomplicated primary wound healing; 36 (43 per cent) of the survivors were unsuitable for rehabilitation on a prosthesis. The remaining 47 (57 per cent) were walking before discharge 30\u2013130 days (mean 68 days) after amputation. Through-knee amputation is a rapid, relatively bloodless, amputation and is a useful debridement procedure. The many surgical and functional advantages, in conjunction with the recent reports of better rehabilitation compared with the above-knee or Gritti-Stokes amputation, suggests that the through-knee amputation deserves greater consideration.<\/jats:p>","DOI":"10.1002\/bjs.1800771014","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:41:40Z","timestamp":1172929300000},"page":"1118-1120","source":"Crossref","is-referenced-by-count":24,"title":["Through-knee amputation in high-risk patients with vascular disease: Indications, complications and rehabilitation"],"prefix":"10.1093","volume":"77","author":[{"given":"B J","family":"Moran","sequence":"first","affiliation":[{"name":"Limb Surgery Unit, Queen Mary's University Hospital , Roehampton Lane, London SW15 5PN,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P","family":"Buttenshaw","sequence":"additional","affiliation":[{"name":"Limb Surgery Unit, Queen Mary's University Hospital , Roehampton Lane, London SW15 5PN,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"Mulcahy","sequence":"additional","affiliation":[{"name":"Limb Surgery Unit, Queen Mary's University Hospital , Roehampton Lane, London SW15 5PN,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K P","family":"Robinson","sequence":"additional","affiliation":[{"name":"Limb Surgery Unit, Queen Mary's University Hospital , Roehampton Lane, London SW15 5PN,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1990,10,1]]},"reference":[{"key":"2024092807492836100_bib1","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1002\/bjs.1800610817","article-title":"The fate of elderly amputees","volume":"61","author":"Harris","year":"1974","journal-title":"Br J Surg"},{"key":"2024092807492836100_bib2","first-page":"87","article-title":"Amputation in 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