{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,7]],"date-time":"2026-03-07T07:19:06Z","timestamp":1772867946367,"version":"3.50.1"},"reference-count":42,"publisher":"MDPI AG","issue":"6","license":[{"start":{"date-parts":[[2024,5,30]],"date-time":"2024-05-30T00:00:00Z","timestamp":1717027200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Lower limb amputation is a common surgical procedure performed worldwide. Many individuals require amputation due to various circumstances, with amputations occurring above or below the knee. Surgeons rely on published research to determine the most appropriate technique based on intraoperative and postoperative outcomes. The Gritti\u2013Stokes amputation (GSA) procedure, introduced in 1857, has shown positive results in terms of primary wound healing, reduced mortality rates during and after surgery, and accelerated healing and mobility. However, due to the need for highly trained surgeons and limitations in functional and cosmetic prosthesis fitting, concerns have been raised regarding its utility. Additionally, the procedure is underutilized in cases where it could potentially yield better results. This article provides a comprehensive review of the documented benefits of GSA, suitable candidate selection, limitations, various modifications, and a comparison with traditional approaches to lower limb amputation. The review is focused on evidence published in the last 100 years.<\/jats:p>","DOI":"10.3390\/medicina60060911","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T12:19:46Z","timestamp":1717417186000},"page":"911","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review"],"prefix":"10.3390","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3233-4745","authenticated-orcid":false,"given":"Marwan","family":"Garaud","sequence":"first","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologique, Clinique Jeanne d\u2019Arc, 45500 Gien, France"},{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologique, Centre Hospitalier R\u00e9gional Universitaire (CHRU) de Tours, 1C Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louis-Rom\u00e9e","family":"Le Nail","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologique, Centre Hospitalier R\u00e9gional Universitaire (CHRU) de Tours, 1C Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9905-855X","authenticated-orcid":false,"given":"Bandar","family":"Hetaimish","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Faculty of Medicine, University of Jeddah, Jeddah 23218, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6718-261X","authenticated-orcid":false,"given":"Julien","family":"Berhouet","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologique, Centre Hospitalier R\u00e9gional Universitaire (CHRU) de Tours, 1C Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5912-9667","authenticated-orcid":false,"given":"Ramy","family":"Samargandi","sequence":"additional","affiliation":[{"name":"Service de Chirurgie Orthop\u00e9dique et Traumatologique, Centre Hospitalier R\u00e9gional Universitaire (CHRU) de Tours, 1C Avenue de la R\u00e9publique, 37170 Chambray-les-Tours, France"},{"name":"Department of Orthopedic Surgery, Faculty of Medicine, University of Jeddah, Jeddah 23218, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"637","DOI":"10.1002\/pmrj.12605","article-title":"COVID-19: A Catalyst for Change in Virtual Health Care Utilization for Persons with Limb Loss","volume":"13","author":"Hewitt","year":"2021","journal-title":"PM&R"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.kine.2022.05.014","article-title":"\u00c9tude \u00c9pid\u00e9miologique Des Amputations Majeures Des Membres Sup\u00e9rieur et Inf\u00e9rieur En France","volume":"23","author":"Bruyant","year":"2023","journal-title":"Kin\u00e9sith\u00e9rapie Revue"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1093\/intqhc\/mzm044","article-title":"Evaluation of Regional Variation in Total, Major, and Minor Amputation Rates in a National Health-Care System","volume":"19","author":"Tseng","year":"2007","journal-title":"Int. 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