About Amputation

Learn about amputations and when they are necessary.

Lower Limb Amputation rates are decreasing in the United Sates!

The good news is, thanks to a better appreciation for the value of a proper vascular evaluation, more prevalent use of diagnostic testing, new endovascular therapies, and even the development of office-based labs, amputation rates for vascular disease in the U.S have been falling. However, the numbers are sadly still quite high.

The role of Peripheral Vascular Disease in Amputation

A severe build-up of plaque (primarily from diabetes and smoking) in the arteries of the legs and feet can cut off blood flow to those areas. Deprived of oxygenated and nutrient rich blood, these areas may suffer irreversible tissue death. In some cases, amputation is the last and only option.

Diabetes and Smoking – the statistical double whammy

Over 150,000 amputations occur in the United States each year. Tragically, about 54% of these are due to vascular disease – and of those who receive a lower limb amputation, about 82% are diabetic. Patients with diabetes mellitus have an astounding 30 times greater lifetime risk of undergoing an amputation when compared to patients without diabetes mellitus.

Smoking is also a major risk factor for limb loss that shouldn’t be ignored. And, should you require an amputation, smoking has been proven to negatively impact the post-surgical healing process.

Amputation Prevention: Our role in that goal

Above all, our goal at Allegheny Vein & Vascular is to prevent amputations caused by peripheral arterial disease (PAD). We do this by performing proper and thorough vascular evaluations, diagnostic testing, and by selecting the best treatment options – typically, minimally-invasive endovascular or open surgical procedures.

Amputation Prevention: Your role in that goal

Preventing toe, foot or leg loss is a team sport and we are on the same team. For the patient, this means seeking a proper vascular evaluation as soon as possible, taking better care of your diabetes and/or committing now to smoking cessation. It’s a lot to ask but there’s a lot to gain. If we both do our parts, we can ensure the best possible outcome.

To put your role in perspective, 80% of diabetes-related lower limb amputations are preceded by a Diabetic Foot Ulcer. We can’t say strongly enough: don’t let the ulcer go too long before seeking vascular evaluation, control your diabetes, and firmly commit to a tobacco-free life. It’s never too late to make these potentially limb-saving changes.

Common Types of Lower Limb Amputations performed for Vascular Disease

These amputations are usually categorized by the level of surgical removal.

  • Toe amputation
  • Partial foot amputation
  • Below knee amputation
  • Above knee amputation

Where to Amputate?

As a general rule, amputations are made at the lowest level possible. For many people – particularly diabetics – this may mean multiple surgeries over years as the diabetic pattern of arterial disease progresses from the small arteries of the toes, then to the foot, and finally to the larger arteries of the leg.

Recovering From Amputation

Recovery from an amputation procedure varies by the type of procedure and anesthesia used. As an example, an amputation that involves total disarticulation of the hip is a much more extensive surgical procedure as compared to amputating a toe.

Hospital staff changes the dressings on the wound and may also teach the patient to how change them. A physician will monitor healing of the wound and any conditions that may complicate the healing process, such as diabetes or atherosclerosis. The doctor will also prescribe medications to control pain and prevent onset of infection.

Patients who experience phantom pain (a feeling of pain in the amputated limb) or emotional distress over the lost limb will be prescribe medication and/or counseling by the physician, as necessary.

Physical therapy usually begins soon after the procedure is completed, starting with gentle stretching exercises. About 10 to 14 days after amputation most patients can begin practicing with prosthetic limbs, where applicable.

Amputation wounds generally heal in about 4 to 8 weeks. However, the physical and emotional adjustment to losing a limb can be a longer process.

ALL THINGS VASCULAR

A great place to learn about all things vascular.

Take time to learn about the vascular system and how it functions.

Learn about venous and arterial vascular conditions that affect the body.

Explore treatments & procedures offered through Allegheny Vein & Vascular.

Learn about the examinations and testing protocols vascular patients receive.