Supracondylar Amputation: Fourteen Stages

The main goal of supracondylar amputation is for the stump to heal properly without complications so that the patient can return to their normal life as quickly as possible and have the best possible quality of life.
Supracondylar amputation: fourteen stages

Supracondylar amputation is a surgical procedure in which the lower limb is cut above the condyle, or articular pin. 50-65% of such non-traumatic amputations are due to a complication of diabetes.

Supracondylar amputation is performed when previous treatments to correct the problem have failed. It requires going through the approval process and formulating a clear goal for the patient, which is thus to safeguard the patient’s health and ensure the best possible quality of life.

Based on the above, the goal is thus a well-improved and stable stub to which the prosthesis can be attached as quickly as possible. The ultimate goal is for the patient to return to their normal life as soon as possible.

General principles

Generally, amputations are divided into large and small amputations. Supracondylar amputations are large because they cover a wide area. Regardless of classification, all amputations are complex procedures that must follow some general principles. These are:

  • These always include antibiotic treatment to treat a previous infection or as a preventative method.
  • Hemostasis, or stopping bleeding, is very precise. If bruising occurs, it is a sign of death or infection.
  • No tightening should be left on the seams of the skin edges. To prevent this, doctors must treat soft tissues with care.
  • There should be a reasonable relationship between the bone part and the length of the skin and muscle-tendon. This prevents tension and covers the bones properly.
  • Performing a Nervous Path Traction is important to prevent possible neurinomas in the scar.
  • The same should be done for articular cartilage and tendons.
  • Prevention of wound bone chips or sharp edges.
  • Wash the surgical wound repeatedly with saline or antiseptic before closing.

Supracondylar amputation: indications and contraindications

Supracondylar amputation is performed when previous infracondylar amputation has not improved or when the calf muscles have contracture, which also includes knee flexion.

The knee joint disappears in supracondylar amputation. To avoid complications with the prosthesis, it is important that the stump is long enough.

This procedure is not recommended for patients with necrosis or myositis.

Supracondylar amputation: method

Supracondylate amputation is a surgical procedure

Steps in supracondylar amputation:

  • The patient is first placed on his back.
  • Mark the fish mouth incision.
  • The skin is cut with a cold scalpel.
  • An electric scalpel cuts subcutaneous tissue up to the membrane tendon, the surface that covers the muscles and attaches them to the bones. When cutting, leave enough tissue for the stump.
  • The superficial femoral artery and deep thigh artery as well as the sciatic nerve are identified, separated and severed . Local infiltration anesthesia is required.
  • The femur is surrounded, covering its entire circumference.
  • The tissues attached to the femur are then separated. This requires a periosteal elevator.

Final steps

  • The Percy amputation tractor is adjusted to amputate the femur. This ensures that there is enough soft tissue left to cover the bone.
  • The bone is then cut with a Gigli saw. This is done so that there is a 90 degree angle between the two ends of the saw. When this is done, the area is washed continuously with saline.
  • Plan the bone edges.
  • Apply bone wax to the cut part. The bone wax is pressed and attached to the cut part.
  • The stump is then closed with indigestible, sterile surgical sutures known as Prolene. Deeper muscle groups are sutured to cover the bone surface. Sew the superficial membrane tendon.
  • The subcutaneous tissue is sutured with a fusible, synthetic suture known as Vicryl.
  • Finally, the skin is sewn with a silk stitch using a vertical mattress stitch.

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