{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:08:20Z","timestamp":1760202500265},"reference-count":24,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2004,8,3]],"date-time":"2004-08-03T00:00:00Z","timestamp":1091491200000},"content-version":"vor","delay-in-days":2,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2004,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A modified technique of knee joint disarticulation using a dorsal musculocutaneous flap of the gastrocnemius muscle was first described in 1985. The operative results in 66 patients (33 women, 33\u00a0men; mean age 66.7 \u00b1 11.3 years, range 42\u201393 years) with gangrene due to peripheral vascular disease with 69\u00a0knee disarticulations are reported. After a mean survival period of 35.2\u00a0months (0\u2013116\u00a0months), 88% (<jats:italic>n<\/jats:italic> = 58) of the patients had died owing to cardiopulmonary reasons. The in\u2010hospital 48\u2010day mortality was 9%. Nine patients (14%) underwent reamputation at the above\u2010knee level, and five patients underwent operative revision of the soft tissue. After discharge from the hospital, 35 of 60 patients (58%) were able to walk with the aid of a prosthesis. We conclude that knee disarticulation with the use of a myocutaneous gastrocnemius flap is a safe, functionally acceptable operative method in high risk vascular patients.<\/jats:p>","DOI":"10.1007\/s00268-004-7311-x","type":"journal-article","created":{"date-parts":[[2004,8,3]],"date-time":"2004-08-03T16:43:22Z","timestamp":1091551402000},"page":"801-806","source":"Crossref","is-referenced-by-count":11,"title":["Long\u2010term Results of Through\u2010knee Amputation with Dorsal Musculocutaneous Flap in Patients with End\u2010stage Arterial Occlusive Disease"],"prefix":"10.1002","volume":"28","author":[{"given":"Hans\u2010Juergen","family":"Kock","sequence":"first","affiliation":[{"name":"Department of Trauma Surgery University Hospital, University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Friederichs","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery University Hospital Rechts der Isar, Technical University Munich Ismaninger Strasse 22 D\u201081675 M\u00fcnchen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Ouchmaev","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery University Hospital, University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joachim","family":"Hillmeier","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery University Hospital, University of Heidelberg Im Neuenheimer Feld 110 D\u201069120 Heidelberg Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephan","family":"von Gumppenberg","sequence":"additional","affiliation":[{"name":"Department of Trauma Surgery University Hospital Rechts der Isar, Technical University Munich Ismaninger Strasse 22 D\u201081675 M\u00fcnchen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,8,3]]},"reference":[{"key":"e_1_2_7_2_2","first-page":"80","article-title":"Amputation beim geriatrischen Patienten","volume":"23","author":"Greitemann B","year":"1994","journal-title":"Orthop\u00e4de"},{"key":"e_1_2_7_3_2","first-page":"23","volume-title":"Amputation: Surgical Practice and Patient Management","author":"Ebskov B","year":"1996"},{"key":"e_1_2_7_4_2","first-page":"S1","article-title":"Management of periperal arterial disease","volume":"31","author":"TASC\u2010Working Group","year":"2000","journal-title":"J. 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