1. Amputation involves removing a limb due to trauma, medical illness, or surgery to control pain or disease like gangrene or malignancy. 2. There are several types of amputations for different parts of the body like above knee, below knee, hand, fingers, and toes. 3. Amputations are needed when other methods have failed to treat conditions like gangrene, trauma, tumors, severe infection, deformity, or dead tissue. Proper techniques and postoperative care are important to prevent complications.

1. SLIDE SHARE OF THE AMPUTATIONS *
BY DR. RAJ BHARDWAJ
(PT)
UTTAR PRADESH UNIVERSITY OF
MEDICAL SCIENCES SAIFAI ETAWAH.
TOPIC _

2. Amputation is a removable of a limb by
trauma, medical illness, or surgery.
● It is used to control pain’or a control
disease process in the affected limb such
as malignancy or gangrene .
● Tourniquet should not be used if
amputation is done for vascular disease

3. TYPES _
1. Equal flaps in above the knee _amputation
removing part of the thigh, knee, shin foot,
and toes.
2. Long posterior flaps below the knee
Amputation removing the lower leg, foot and
toes.
1. Arm amputation.
2. Hand amputation.
3. Finger amputation.

9. 6. Foot amputation _ removing part of the foot.
7. Toes amputation.
NEED OF AMPUTATION_
● Heamatocrit_ control of anaemia by
transfusing blood.
● Control of infection using antibiotics .
● Informed consent should be taken.
● Plan for prosthesis and rehabilitation by
physiotherapy and rehabilitation team.

10. INDICATIONS _
● Gangrene.
● Trauma.
● Neoplasms.
● Severe sepsis.
● Severe elephantiasis , madura foot .
● Severe deformity congenital or acquired.
● Dead , dying and devitalised tissue .
● When the all other methods have failed to help.
● Etc.

11. PRINCIPLES IN AMPUTATION_
● Proper marking of the skin incision is
essential.
● Adequate blood supply of the flap should be
maintained.
● Tourniquet should not be used if amputation
is done for vascular disease.
● Flap length should be adequate not short.

12. ● Bone should be cut with beveling and all sharp margins
should be rounded.
● Postoperative regular dressings are done.
● Postoperative active exercise should be given to the
proximal joint .
● Proper anatomy of muscle and neurovascular bundle around
should be known in all amputation

13. DIFFERENT TYPES OF AMPUTATION _.
1. Ray AMPUTATIONS.
2. Transmetatarsal ( gilies)
1. Tarsometatarsal ( lisfrancc’s)
2. Midtarsal (chopart’s).
3. Syme’s.
1. Below knee.
2. Transcondylar.
3. Above _knee

14. COMPLICATIONS _
● EARLY _
● Haemorrhage, haematoma, infection.
● Late _.
● Pain’, flap necrosis, painful scar, ulceration of
stump, Ring sequestration formation,
● Stump pain after amputation
● Phontom limb, contracture of the joint.

15. Other complications _
● Skin thickness.
● Hyperkeratosis.
● Papilloma.
● Lymphoedema.
● Osteophyte formation.
● Stump aneurysm.
● Stump fracture.
● Scar hypertrophy.
● Etc

16. Thank you