{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T14:54:03Z","timestamp":1790866443188,"version":"4.1.0"},"reference-count":14,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[1994,11,1]],"date-time":"1994-11-01T00:00:00Z","timestamp":783648000000},"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":[[1994,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Received wisdom commends a policy of maximizing the ratio of below-knee to above-knee amputations in patients with end-stage arterial disease. After adoption of this policy, the long-term outcome of 100 consecutive lowerlimb amputations in 96 patients was monitored by annual review for 5 years. The ratio of primary below-knee to above-knee amputations was 2:1, with 9 per cent of belowknee amputations undergoing revision to a higher level. At 2 years after amputation only 26 per cent of patients were successfully walking out of doors, while 40 per cent had died. By 5 years 67 per cent were dead and only 9 per cent continued to walk out of doors with an artificial limb, although a further 8 per cent continued to use the limb within the confines of their own homes. In a previous audit of 193 amputations performed during the 3\u00b75 years to December 1984, stump healing was a problem in 45 per cent of primary below-knee amputations, compared with 25 per cent in the present study. Although the below- to above-knee ratio in 1984 was only 1:2, the overall rehabilitation rate, as determined by the proportion of patients able to walk at 2 years, was 34 per cent. It is concluded that increasing the proportion of below-knee amputations from one-third to two-thirds of lower-limb amputations for occlusive arterial disease does not improve effective rehabilitation rates. Received wisdom on the desirability of a high below- to above-knee ratio may be wrong.<\/jats:p>","DOI":"10.1002\/bjs.1800811110","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T19:50:21Z","timestamp":1172951421000},"page":"1596-1599","source":"Crossref","is-referenced-by-count":99,"title":["Rehabilitation outcome 5 years after 100 lower-limb amputations"],"prefix":"10.1093","volume":"81","author":[{"given":"D L","family":"McWhinnie","sequence":"first","affiliation":[{"name":"University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital , Headington, Oxford,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A C","family":"Gordon","sequence":"additional","affiliation":[{"name":"University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital , Headington, Oxford,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Collin","sequence":"additional","affiliation":[{"name":"University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital , Headington, Oxford,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D W R","family":"Gray","sequence":"additional","affiliation":[{"name":"University of Oxford, Nuffield Department of Surgery, John Radcliffe Hospital , Headington, Oxford,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J D","family":"Morrison","sequence":"additional","affiliation":[{"name":"Disablement Services Centre , Headington, Oxford,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1994,11,1]]},"reference":[{"key":"2024092813283506400_bib1","doi-asserted-by":"crossref","first-page":"85","DOI":"10.3109\/03093648709078184","article-title":"Mobility 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