Successful Revision Surgery: For Above-knee Amputated Leg Infected with Multiple Microorganisms
Dr. Yeshwant Lamture,
Professor, Department of General Surgery, JNMC, Wardha, Maharashtra, India.
Amputation of lower extremity is one of the oldest surgical procedures. Amputated limb with ideal stump has excellent results, whereas bad stumps prolong the prostheses fitting and rehabilitation. Revision amputations are commonly indicated in poor stump formation, infection, recurrent ulceration, stitch abscess, neuroma and flap necrosis. Revision surgery rate of primary amputations stands high despite maximum care at tertiary hospitals. Successful revision surgeries are very rare as infection is inevitable yet preventable cause. This is a case of a 63-year-old male, who presented to the Surgery Outpatient Department (OPD) with wound over the right popliteal region which developed over the course of 15 days after he was attacked by a wild bore and later it was diagnosed as vascular injury. Therapeutic embolisation was done. However, the patient continued to develop gangrenous changes over the wound site. Hence, an emergency above-knee amputation of the right limb was done. However, patient developed infection post-operatively leading to formation of poor stump. Thus, revision surgery was done. This case is rare because, in spite of meticulous search of various medical portals online for similar case scenarios, very rarely revision surgeries done for aboveknee amputations with infected stump are found to be successful.