Gritti-Stokes Amputation in the Trauma Patient: Tips and Techniques
2012
[Introduction][1] The Gritti-Stokes amputation establishes osseous continuity between the patella and the distal part of the femur with maintenance of the intact prepatellar soft tissues.
[Step 1: Preoperative Planning][2] As with all orthopaedic surgery, preoperative planning is essential to obtaining an optimal outcome with this procedure.
[Step 2: Flap Design][3] Use an asymmetric flap consisting of the undisturbed prepatellar soft tissues and rotate it posteriorly to achieve closure.
![Figure][4]
[Step 3: Soft-Tissue Dissection][5] Keep soft-tissue dissection subperiosteal or intratendinous to minimize blood loss and postoperative pain.
![Figure][4]
![Figure][4]
![Figure][4]
[Step 4: Distal Femoral and Patellar Cuts][6] Use a high-speed saw to transect the femur and patella.
![Figure][4]
[Step 5: Posterior Dissection][7] Carry out posterior dissection in a methodical manner, with individual identification and ligation of all neurovascular structures.
![Figure][4]
![Figure][4]
[Step 6: Patellofemoral Arthrodesis][8] Suture the patella to the distal part of the femur using six drill holes and nonabsorbable suture.
![Figure][4]
![Figure][4]
[Step 7: Soft-Tissue Closure][9] Close the remaining soft tissue, including the posterior musculature, subcutaneous layer, and skin, in a layered fashion.
![Figure][4]
![Figure][4]
[Step 8: Postoperative Management][10] Postoperative care should be done in conjunction with a prosthetist to obtain optimal outcomes.
[Results][11] The Gritti-Stokes amputation technique appears to be a potentially valuable addition to the amputation surgeon's armamentarium.
[What to Watch For][12] [Indications][13]
[Contraindications][14]
[Pitfalls & Challenges][15]
[Introduction][1] The Gritti-Stokes amputation establishes osseous continuity between the patella and the distal part of the femur with maintenance of the intact prepatellar soft tissues.
[Step 1: Preoperative Planning][2] As with all orthopaedic surgery, preoperative planning is essential to obtaining an optimal outcome with this procedure.
[Step 2: Flap Design][3] Use an asymmetric flap consisting of the undisturbed prepatellar soft tissues and rotate it posteriorly to achieve closure.
![Figure][4]
[Step 3: Soft-Tissue Dissection][5] Keep soft-tissue dissection subperiosteal or intratendinous to minimize blood loss and postoperative pain.
![Figure][4]
![Figure][4]
![Figure][4]
[Step 4: Distal Femoral and Patellar Cuts][6] Use a high-speed saw to transect the femur and patella.
![Figure][4]
[Step 5: Posterior Dissection][7] Carry out posterior dissection in a methodical manner, with individual identification and ligation of all neurovascular structures.
![Figure][4]
![Figure][4]
[Step 6: Patellofemoral Arthrodesis][8] Suture the patella to the distal part of the femur using six drill holes and nonabsorbable suture.
![Figure][4]
![Figure][4]
[Step 7: Soft-Tissue Closure][9] Close the remaining soft tissue, including the posterior musculature, subcutaneous layer, and skin, in a layered fashion.
![Figure][4]
![Figure][4]
[Step 8: Postoperative Management][10] Postoperative care should be done in conjunction with a prosthetist to obtain optimal outcomes.
[Results][11] The Gritti-Stokes amputation technique appears to be a potentially valuable addition to the amputation surgeon's armamentarium.
[What to Watch For][12] [Indications][13]
[Contraindications][14]
[Pitfalls & Challenges][15]
[1]: #sec-12
[2]: #sec-13
[3]: #sec-14
[4]: pending:yes
[5]: #sec-15
[6]: #sec-16
[7]: #sec-17
[8]: #sec-18
[9]: #sec-19
[10]: #sec-20
[11]: #sec-21
[12]: #sec-22
[13]: #sec-23
[14]: #sec-24
[15]: #sec-25
Keywords:
- Correction
- Source
- Cite
- Save
- Machine Reading By IdeaReader
4
References
1
Citations
NaN
KQI