0
ARTICLE |

Life and Limb

Arch Surg. 1971;103(1):3. doi:10.1001/archsurg.1971.01350070029004.
Text Size: A A A
Published online

ABSTRACT

The winds of change are blowing. In our approch to amputations of the leg for gangrene, a new philosophy has emerged. Where before surgeons were saving lives by mid-thigh amputations with little heed to later walking, now we are aiming at saving the limb, or at least the part of it most vital for walking—the knee joint. Our objective is early walking independence, hopefully at home, rather than a wheel chair in a chronic care institution. In 1964, the ratio of below-knee to above-knee amputations in a survey made in a group of 14 Veterans Administration hospitals was 0.41. In 1967 in 23 VA hospitals, it was 0.70. In the earlier survey, the mean time of rehabilitation to walking with a prosthesis for above knees was 13 weeks; for below knees, 16 weeks. In the 1967 survey, it was less than 12 weeks for both levels. This illustrates the trend

Topics

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();