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Volume: 08 Research & Reviews: Journal of Medical & Health Sciences
Page 14
Notes:
Diabetes Congress & Cancer summit 2019
December 04-05, 2019
conferenceseries.com
December 04-05, 2019 | Tokyo, Japan
Asia Pacific Conference on
Diabetes Oncology
Rachel Xuan, RRJMHS 2019, ISSN: 2319-9865
The Footrest as a Helpful Adjunct for the Below Knee Amputation
Rachel Xuan
The Liverpool Hospital, Australia
The below knee amputation (BKA) is one of the oldest and most e ective surgical procedures. It is o en a critical component
in the management of diabetic foot disease to obtain souce control in the setting of sepsis. Its technique has been re ned
from the rst century to deal more e ectively with haemorrhage, infection and pain. e introduction of ligatures, tourniquets,
antibiotics and reonstructive ap techniques have all been bene cial technical adjuncts. Multiple factors contribute to good
post-operative outcomes including, but not limited to, adequate blood supply, meticulous haemostasis, tension free closure,
the appropriate selection of the amputation level and an atraumatic and e cient surgical technique with minimisation of
electrocautery.
e operative positioning has classically been with the patient in a supine position with their knee extended. Although
this has not changed, modern surgical tables and accessories can improve surgical outcomes. Herein, we discuss the use of a
surgical 12” long footrest and a hip brace as an adjunct for BKA. ey facilitate the sterile surgical prep of the leg, give easier
access to the posterior ap and minimise the need for assistance during bony transections. e core principles of major limb
amputation still apply for a good outcome and these adjuncts represent an incremental improvement to the classical setup for
a BKA. We hope that this article will help the surgical community and doctors who perform this operation infrequently.
Biography
Ms Rachel Xuan is a medical student in her final year of training from the University of New South Wales. She is currently posted at the Liverpool Hospital in Western
Sydney in Australia and is rotating through her vascular surgery term. She has a keen interest in diabetic foot complications and their surgical management.