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Amputation- Above Knee Surgery in India

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Why would someone need to have an Amputation-above knee surgery?

Common indications of Amputation- Above Knee Surgery include:

  • Trauma: Severe injuries, such as compound fractures with extensive damage to the tissues and blood vessels, may require amputation above the knee.

  • Infection: When infections in the knee joint or surrounding tissues are severe and unresponsive to treatment, amputation above the knee may be necessary.

  • Tumor: The presence of malignant tumors in the knee region, such as bone sarcomas, might necessitate above-the-knee amputation.

  • Vascular compromise: In cases where there is significant vascular disease or compromised blood flow to the lower limb, amputation above the knee may be considered.

What conditions can an Amputation- Above Knee Surgery treat?

Above-knee amputation surgery can treat various conditions including:

  • Trauma

  • Severe infection

  • Tumor presence

  • Vascular compromise

Additionally, in cases where there is significant vascular disease or compromised blood flow to the lower limb, amputation above the knee may be considered.

Different Types of Amputation- Above Knee Surgery

Different types of amputation procedures can be performed above the knee. Here are a few common types:

  • Transfemoral Amputation: This is the most common type of above-knee amputation. It involves the removal of the leg above the knee joint, usually at the mid-thigh level.

  • Knee Disarticulation: In this procedure, the amputation is done through the knee joint, preserving the femur (thighbone). This allows for better functional outcomes and the potential use of a knee joint prosthesis.

  • Hemi-Pelvectomy: This is a more extensive amputation that involves the removal of the leg, half of the pelvis, and sometimes a portion of the other leg. It is typically done for cases of extensive tumors or trauma.

  • Hip Disarticulation: This procedure involves the removal of the entire lower limb, including the hip joint. It is typically reserved for cases where amputation at a higher level is necessary, such as for tumors or infections that have extended into the hip joint.

Requirements & Evaluation: Amputation- Above Knee surgery

The following are essential requirements and evaluations while preparing for Amputation-above- Knee surgery:

  • Medical Condition: The underlying medical condition or injury that necessitates the amputation is assessed. This includes evaluating the severity, extent, and prognosis of the condition.

  • Failed Conservative Treatment: Before considering amputation, other treatment options such as medication, physical therapy, or surgery to salvage the limb are explored. The decision for amputation is typically made when these treatments have failed or are unlikely to provide a satisfactory outcome.

  • Functional Status: The patient's overall functional status and quality of life are considered. Factors such as mobility with assistive devices, ability to perform activities of daily living, and potential for rehabilitation are evaluated.

  • Vascular Assessment: The blood supply to the affected limb is assessed to determine the adequacy of perfusion and the potential for successful healing following amputation.

Amputation- Above Knee Surgery Procedure

Before the procedure

Before an above-knee amputation (AKA) surgery, a comprehensive evaluation is conducted to assess the patient's medical condition, failed conservative treatments, functional status, vascular assessment, psychological well-being, rehabilitation potential, and comorbidities. Once it is determined that AKA is necessary, the patient undergoes the surgical procedure. This involves making an incision above the knee, removing the femur bone, shaping and suturing the remaining soft tissues, achieving hemostasis, and closing the wound.

After the procedure

After surgery, the patient receives postoperative care, including pain management, wound care, and physical therapy. Ultimately, the goal is to facilitate healing, regain mobility, and improve functionality with the use of a prosthetic limb through rehabilitation and prosthetic fitting.

What type of follow-up care will I have during recovery?

Take medications on time and take regular follow-ups. Maintain a healthy lifestyle and obey instructions given by the doctor. In case of any discomfort, contact your healthcare provider immediately.

Risk & Benefits

Certainly! Above-knee amputation (AKA) surgery carries both risks and benefits.

Risks

Risks associated with above-knee amputation surgery include potential complications such as infection, bleeding, poor wound healing, blood clots, nerve injury, and phantom limb pain. Additionally, there is a risk of anesthesia-related complications and potential adverse reactions to medications used during the procedure.

Benefits

On the other hand, the benefits of above-knee amputation surgery can include pain relief, improved mobility and functionality with the use of a prosthetic limb, and improved quality of life in cases where non-surgical treatment options have failed.

Recovery 

The recovery time after an above-knee amputation (AKA) surgery can vary depending on various factors, including the individual's overall health, age, and the specific circumstances leading to the surgery. While there is no fixed timeline for recovery, it generally takes several weeks to several months for individuals to regain mobility and adapt to their new prosthetic limb.

Why to choose Yapita Health
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At Yapita Health, we have a team of world-class Orthopedic surgeons who have years of experience in performing Amputation-above knee  surgeries. Our doctors are thorough with the latest tools and techniques and are pioneering robotic knee surgeries globally. Every year, thousands of patients prefer to visit Yapita Health for knee replacement surgeries relative to its success and affordability. We have delivered surgeries with the highest success rates worldwide and continue to expand our healthcare services in 20+ countries. If you have any concerns, feel free to reach out.

FAQs Related to Amputation - Above Knee

Why is an above-knee amputation performed?

Above-knee amputation may be necessary due to conditions such as extensive trauma, malignancy, non-healing infections, or severe vascular disease that compromise the leg's viability.


How is the surgery performed? 

Above-knee amputation involves removing the leg above the knee joint. The surgery is carefully planned to ensure proper wound healing and the creation of a functional residual limb.


What is the recovery process like? 

Recovery involves postoperative care, pain management, and rehabilitation. Physical therapy is crucial for adjusting to the use of prosthetics and maintaining mobility.


How long does it take to adjust to a prosthetic limb? 

Adjusting to a prosthetic limb varies for each individual. Physical therapy plays a vital role in helping patients adapt to using the prosthetic limb and regain functional mobility.


What are the potential complications of above-knee amputation?

Complications may include infection, delayed wound healing, neuroma formation (nerve tissue growth), and psychological challenges. The risk of complications is managed through careful surgical technique and postoperative care.


Can above-knee amputation be prevented? 

In some cases, especially in situations involving trauma or vascular diseases, early intervention and medical management may help prevent the need for amputation. However, this is not always possible, and the decision is made based on the individual's overall health and the severity of the condition.


What psychological support is available for individuals undergoing above-knee amputation?

Psychosocial support, including counseling and support groups, is essential for individuals facing amputation. Coping with the emotional and psychological aspects of limb loss is a crucial part of the overall recovery process.


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