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- Title
Pirogoff amputation is a viable option to maintain ambulation in chronic limb-threatening ischemia with extensive midfoot tissue loss: a report of two cases.
- Authors
Sano, Masaya; Morii, Hokuto; Endo, Takashi; Kimura, Masaru; Yamamoto, Satoshi; Hashimoto, Takuya; Deguchi, Juno
- Abstract
Eliminating necrotic and infected tissues is crucial for limb salvage in patients with chronic limb-threatening ischemia (CLTI). However, extensive lesions that involve the midfoot frequently result in transtibial amputation, restricting ambulation and independent life. The Modified Pirogoff amputation, which includes a 90° rotation of the calcaneus and fixation with the tibia, has good functional outcomes in trauma cases. Here, we report two patients with CLTI successfully managed by a combination of revascularization and modified Pirogoff amputation, resulting in preserved ambulation without a prosthesis. Modified Pirogoff amputation may be a good alternative in revascularized CLTI with extensive tissue loss of the midfoot.
- Subjects
AMPUTATION; TRAUMATIC amputation; LIMB salvage; ISCHEMIA; HEEL bone; TISSUES
- Publication
Journal of Surgical Case Reports, 2024, Vol 2024, Issue 3, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjae180