Pirogow’s Amputation: A Modification of the Operation Method
Introduction. Pirogow’s amputation at the ankle presents a valuable alternative to lower leg amputation for patients with the corresponding indications. Although this method offers the ability to stay mobile without the use of a prosthesis, it is rarely performed. This paper proposes a modification...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2013-01-01
|
| Series: | Advances in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/460792 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550064585703424 |
|---|---|
| author | M. Bueschges T. Muehlberger K. L. Mauss J. C. Bruck C. Ottomann |
| author_facet | M. Bueschges T. Muehlberger K. L. Mauss J. C. Bruck C. Ottomann |
| author_sort | M. Bueschges |
| collection | DOAJ |
| description | Introduction. Pirogow’s amputation at the ankle presents a valuable alternative to lower leg amputation for patients with the corresponding indications. Although this method offers the ability to stay mobile without the use of a prosthesis, it is rarely performed. This paper proposes a modification regarding the operation method of the Pirogow amputation. The results of the modified operation method on ten patients were objectified 12 months after the operation using a patient questionnaire (Ankle Score). Material and Methods. We modified the original method by rotating the calcaneus. To fix the calcaneus to the tibia, Kirschner wire and a 3/0 spongiosa tension screw as well as a Fixateur externe were used. Results. 70% of those questioned who were amputated following the modified Pirogow method indicated an excellent or very good result in total points whereas in the control group (original Pirogow’s amputation) only 40% reported excellent or very good result. In addition, the level of pain experienced one year after the completed operation showed different results in favour of the group being operated with the modified way. Furthermore, patients in both groups showed differences in radiological results, postoperative leg length difference, and postoperative mobility. Conclusion. The modified Pirogow amputation presents a valuable alternative to the original amputation method for patients with the corresponding indications. The benefits are found in the significantly reduced pain, difference in reduced radiological complications, the increase in mobility without a prosthesis, and the reduction of postoperative leg length difference. |
| format | Article |
| id | doaj-art-59f28ac53102495ca1b037e5d4062ca4 |
| institution | Kabale University |
| issn | 2090-3464 2090-3472 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Orthopedics |
| spelling | doaj-art-59f28ac53102495ca1b037e5d4062ca42025-02-03T06:07:49ZengWileyAdvances in Orthopedics2090-34642090-34722013-01-01201310.1155/2013/460792460792Pirogow’s Amputation: A Modification of the Operation MethodM. Bueschges0T. Muehlberger1K. L. Mauss2J. C. Bruck3C. Ottomann4Sektion für Plastische Chirurgie und Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Universitätsklinikum Schleswig Holstein Campus Lübeck, Ratzeburger Allee 160, 23560 Lübeck, GermanyAbteilung für Plastische Chirurgie, DRK Kliniken Berlin, Berlin, GermanySektion für Plastische Chirurgie und Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Universitätsklinikum Schleswig Holstein Campus Lübeck, Ratzeburger Allee 160, 23560 Lübeck, GermanyAbteilung für Plastische Chirurgie, Martin Luther Krankenhaus, Caspar-Theyß-Straße 27-31, Grunewald, 14193 Berlin, GermanySektion für Plastische Chirurgie und Handchirurgie, Intensiveinheit für Schwerbrandverletzte, Universitätsklinikum Schleswig Holstein Campus Lübeck, Ratzeburger Allee 160, 23560 Lübeck, GermanyIntroduction. Pirogow’s amputation at the ankle presents a valuable alternative to lower leg amputation for patients with the corresponding indications. Although this method offers the ability to stay mobile without the use of a prosthesis, it is rarely performed. This paper proposes a modification regarding the operation method of the Pirogow amputation. The results of the modified operation method on ten patients were objectified 12 months after the operation using a patient questionnaire (Ankle Score). Material and Methods. We modified the original method by rotating the calcaneus. To fix the calcaneus to the tibia, Kirschner wire and a 3/0 spongiosa tension screw as well as a Fixateur externe were used. Results. 70% of those questioned who were amputated following the modified Pirogow method indicated an excellent or very good result in total points whereas in the control group (original Pirogow’s amputation) only 40% reported excellent or very good result. In addition, the level of pain experienced one year after the completed operation showed different results in favour of the group being operated with the modified way. Furthermore, patients in both groups showed differences in radiological results, postoperative leg length difference, and postoperative mobility. Conclusion. The modified Pirogow amputation presents a valuable alternative to the original amputation method for patients with the corresponding indications. The benefits are found in the significantly reduced pain, difference in reduced radiological complications, the increase in mobility without a prosthesis, and the reduction of postoperative leg length difference.http://dx.doi.org/10.1155/2013/460792 |
| spellingShingle | M. Bueschges T. Muehlberger K. L. Mauss J. C. Bruck C. Ottomann Pirogow’s Amputation: A Modification of the Operation Method Advances in Orthopedics |
| title | Pirogow’s Amputation: A Modification of the Operation Method |
| title_full | Pirogow’s Amputation: A Modification of the Operation Method |
| title_fullStr | Pirogow’s Amputation: A Modification of the Operation Method |
| title_full_unstemmed | Pirogow’s Amputation: A Modification of the Operation Method |
| title_short | Pirogow’s Amputation: A Modification of the Operation Method |
| title_sort | pirogow s amputation a modification of the operation method |
| url | http://dx.doi.org/10.1155/2013/460792 |
| work_keys_str_mv | AT mbueschges pirogowsamputationamodificationoftheoperationmethod AT tmuehlberger pirogowsamputationamodificationoftheoperationmethod AT klmauss pirogowsamputationamodificationoftheoperationmethod AT jcbruck pirogowsamputationamodificationoftheoperationmethod AT cottomann pirogowsamputationamodificationoftheoperationmethod |