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Amputation - Above Knee

Above-knee removal (AKA), or transfemoral removal is a surgery performed to remove the lower leg over the knee joint when it has been damaged beyond repair by an external trauma. Most AKAs are performed because of peripheral vascular illness, or severe infection in the lower limb. Healing is dependent on proper blood circulation; a reduced or restricted blood circulation limits healing and causes further damage. In some cases, the limb becomes contaminated, and the infection may spread deep down.

Amputation is performed to remove the diseased tissue and avert the spread of infection. Above-knee amputations are performed when the bloodstream is lacking in the lower leg, or infection is so grave that any attempt to heal is futile.

Why AKA is Necessary?

If an AKA is necessary, it is performed by a vascular or orthopaedic specialist. The unhealthy or seriously harmed piece of the limb is removed, while the orthopaedic surgeon tries to save the healthy tissue as much as he can. The specialist shapes the rest of the leg to permit the use of a prosthetic leg after recuperation.

The Necessity of AKA is backed by following conditions:

  • Diabetes
  • Tumour
  • Contamination
  • Gangrene
  • Peripheral vascular infection
  • A lethal Injury which causes the lower leg to smash or disjointed

How is AKA Performed?

Removal is done under general or spinal anaesthesia, which numbs the portion below the waist. The specialist removes the harmed tissue while sparing the healthy tissue. A specialist may utilise a few techniques to figure out where to cut and how much tissue to remove. The techniques are as follows:

  • Checking for a heartbeat near where the cut is to be made
  • Contrasting skin temperature of the influenced limb with the sound limb
  • Searching for areas of reddened skin
  • Preparing to make a cut
  • Remove the infected tissue and any pulverised bone
  • Smoothen up uneven zones of bone
  • Close veins and nerves
  • Cut and shape muscles with the goal that the stump, or end of the limb, should fit in a prosthetic.

Essential Postoperative Measures

Successful rehabilitation of the patient, who has experienced an above-knee amputation, requires an organised effort that should begin before the procedure. The group of surgeons and nurses must build up a positive association with the patient and family and incorporate them in the primary leadership process from the very beginning.

Rehabilitation efforts will result in the enhanced confidence in the patient. The team efforts will make the patient ready to acknowledge the removal and set practical goals for recuperation. The patient ought to be informed that a "ghost limb" will be felt after the affected limb is removed. It is a common occurrence in the people who had their leg removed.

Potential Risks and Complications of the AKA

  • Non-healing wound.
  • Phantom pain.
  • Chronic pain.
  • Phantom limb sensation
  • Neuroma.
  • Persistent infection.
  • Need for higher amputation.
  • Loss of mobility.
  • Bleeding requiring transfusion.
  • Complications like heart attack, stroke, or death.

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Hospitals

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Indraprastha Apollo

Apollo Hospitals is widely recognized as the pioneer of private healthcare in India, and was the country`s first corporate hospital. The Apollo Hospitals Group,

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Fortis Hospital

Fortis Flt. Lt. RajanDhall Hospital, VasantKunj, New Delhi, is a 200 bed NABH certified multi-speciality tertiary care hospital. Spread over 1,50,000 sq. ft...

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Metro Hospital

With a vision to provide the utmost level of healthcare to the common man, at the most affordable cost,Dr. Purshotam Lal....

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BLK Hospital

Dr. B L Kapur, an eminent Obstetrician and Gynaecologist, set up a Charitable Hospital in 1930 at Lahore. In 1947, he moved to post-partition India...

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Action Cancer Hospital

Action Cancer Hospital, founded by Lala Mange Ram Aggarwal, is the first state-of-the-art cancer care hospital in the heart of West Delhi.

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Denvax Clinics

DENVAX is dendritic cell based cancer immunotherapy.

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Artemis Hospital

Sector 51, Gurgaon 122001 Haryana, India

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Fortis Escorts Heart Institute

Okhla Road, New Delhi - 110 025 (INDIA)

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Max Superspeciality Hospital Saket

Press Enclave Road, Mandir Marg, Saket, New Delhi 110017 India

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Columbia Asia

Block F, GolChakkar, Palam Vihar, Gurgaon, Haryana 122 017

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Fortis Memorial Research Institute, Gurgaon

Fortis Memorial Research Institute (FMRI), Gurgaon

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Medanata The Medicity

CH Baktawar Singh Road, Sector 38, Gurugram, Haryana 122001

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Paras Hospitals Gurgaon

C-1, SushantLok-1, Sector-43, Phase-I, Gurugram, Haryana 122002

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Dharamshila Narayana Superspeciality Hospital

Vasundhara Enclave, Near New Ashok Nagar Metro Station Delhi - 110096 (India)

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Narayana Multispeciality Hospital

Plot Number 3 & 4, Sadaramangala Industrial Area

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Fortis Malar Hospital

Fortis Malar Hospital 52, First Main Road, Gandhi Nagar, Adyar Adyar Chennai 600 020

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Manipal Hospitals

Manipal Hospitals, 98,Opposite, Leela Palace Road, Bengaluru, Karnataka 560017

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Apollo Hospital

No. 21, Greams Lane 320, Off. Greams Road, Chennai - 600006

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Gleaneagle Global Health city

439, Cheran Nagar, Perumbakkam, Chennai, Tamil Nadu 600100

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Seven Hills Hospital

Marol Maroshi Road, Shivaji Nagar JJC, Marol, Andheri East, Mumbai, Maharashtra 400059

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Wock Hardt Hospital

Wockhardt Towers BandraKurla Complex, Bandra (East) Mumbai 400051 Maharashtra, India

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Max Super Speciality Hospital Shalimar Bagh

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Doctors

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Dr. Vinit SuriNeurology

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Dr. Gurinder BediMS, DNB, FRCS, FRCS-ortho

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Dr. Jamal A. KhanMBBS MD

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Dr. Nidhi RawalPaediatric Cardiology

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Dr. Manjinder SandhuPaediatric Cardiology

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Dr. Anish GuptaHead & Neck Surgeon

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Dr. Anjana SatyajitDentistry

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Dr. Arpit JainSenior Consultant

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Dr. Ashu Kumar JainSr. Consultant

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Dr. Ashutosh ShuklaSr. Consultant

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Dr. B.K. SinghSenior Surgeon

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Dr. Dheeraj KapoorSr. Consultant

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Dr. I P S OberoiOrthopaedics

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Dr. Ila GuptaReproductive Medicine

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Dr. Paritosh S GuptaGeneral & MI Surgery

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Dr. Rajesh K. VermaOrthopaedics

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Dr. Ramdip RayLiver Transplant & GI Surgery

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Dr. Aditya GuptaAdditional Director – Neurosurgery

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Dr. Renu Raina SehgalSenior Consultant

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Dr. Subodh Chandra PandeDirector - Radiation Oncology and Co-Director - Cyberknife Centre

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Dr. Akhil GovilCardio Thoracic and Vascular Surgery

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Dr. Himanshu GargHead

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Dr. S. V. KotwalMS General Surgery

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Dr. Sameer KaushalSr. Consultant

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Dr. Nitin Goel GoelConsultant

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Dr. Shalabh AgrawalUrologist

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Dr. Rajiv ChhabraSr. Consultant

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Dr. Sonu Balhara AhlawatSenior Consultant

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Dr. T K ThusooSenior Surgeon

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Dr. Shashidhar TBHead and Neck surgeon

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Dr. Vikram Barua KaushikAssociate Urologist

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Dr. Sumit SinghDirector

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Dr. Viresh MahajanDirector - Pediatric Cardiology

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Dr. Sumeet AgarwalHead

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Dr. Noaline SinhaSr. Consultant

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Dr. Biswajyoti HazarikaDirector- Surgical Oncology (Head & Neck)

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Dr. Subhash Jangid Senior Consultant

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Dr. Veena Bhat Obstetrics & Gynaecology

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Dr. Vipul Nanda Consultant - Cosmetic & Plastic Surgery

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Dr. Rohit MehtaHead of Department, Physiotherapy & Rehabilitation

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Dr. Inder Mohan ChughAssociate Director & HOD - Interventional Pulmonology & Sleep Medicine

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Dr. Manoj KhanalSenior Consultant Neurology

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Dr. Vineeta GoelAssociate Director, Radiation Oncology

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Dr. Mannu BhatiaConsultant - Orthopaedics & Joint Replacement

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Dr. Naresh Kumar GoyalAssociate Director & HOD - Cardiology(Clinical & Research)

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Dr. Naveen BhamriHead of Department & Associate Director Interventional Cardiology

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Dr. Monisha GuptaConsultant - Gynae Oncology

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Dr. Vineet Govinda GuptaAssociate Consultant - Oncology

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Dr. Harsh WardhanSenior Consultant - Paediatric Surgery

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Dr. Yogesh ChhabraConsultant - Nephrology & Renal Transplantation

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Dr. Raju EaswaranSenior Consultant - Orthopaedics & Sports Injury

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Dr. Archit PanditConsultant - Surgical Oncology

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Dr. Rakesh K. DuaDirector & Head - Neurosurgery(Spine & Brain)

Neurological Surgery. Hospital - Max Super Speciality Hospital Shalimar Bagh, New Delhi

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Dr. Nikhil AgnihotriSenior Consultant

Minimally Invasive Spine Surgery. Hospital - Max Super Speciality Hospital Shalimar Bagh, New Delhi

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Dr. Anil Kumar VarshneyDirector & HOD - Urology

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Dr.(Col.) Ranga Rao RangarajuDirector - Medical Oncology

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Dr. Rudra Prasad AcharyaMS(General surgery), Fellow(Surgical Oncology ft Colorectal Surgery), Sr. Consultant ft Head

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Dr. Gaurav DixitConsultant - Medical Oncology, Haematology and Bone Marrow Transplant

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