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Case Reports
. 2014;9(2):90-2.
doi: 10.2185/jrm.2888. Epub 2014 Oct 6.

A case of above knee amputation with preoperative high risks

Hiroki Kinugawa  1 , Yasuyuki Shimada  1
Affiliations
Case Reports

A case of above knee amputation with preoperative high risks

Hiroki Kinugawa et al. J Rural Med. 2014.

Abstract

An 85-year-old malnourished man was admitted with ischemia-induced necrosis of the right leg and high-risk factors, including chronic obstructive pulmonary disease, pneumonia, and infection of the necrotic leg. We controlled the infection and provided proper nutrition. Using light general anesthesia and a nerve block, we amputated the leg above the knee. The patient could eat and drink the same day following the surgery, and respiratory rehabilitation was begun the next day. His postoperative course was uneventful. Our case suggests that maintenance of good nutrition may play a key role for high-risk elders undergoing leg amputation.

Keywords: amputation; elder; leg; nutrition; risk.

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Figures

Figure 1
Figure 1
X-ray showing transfemoral amputation level.
Figure 2
Figure 2
Upper panel shows patient’s % intake of 1700 cal/day diet according to number of days after surgery. Lower panel shows serum concentration of C-reactive protein (CRP), hemoglobin (Hb), and albumin (Alb) according to number of days after surgery.
See this image and copyright information in PMC

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