Multiple clinical pathways lead to lower extremity amputation, including trauma, dysvascular disease, congenital defects, and malignancy. However, the principles of successful amputation-careful preoperative planning, coordination of a multidisciplinary team, and good surgical technique-remain the same. Organized rehabilitation and properly selected prostheses are integral components of amputee care. In the civilian setting, amputation is usually performed as a planned therapy for an unsalvageable extremity, not as an emergency procedure. The partial loss of a lower limb often represents a major change in a person's life, but patients should be encouraged to approach amputation as the beginning of a new phase of life and not as the culmination of previous treatment failures.

Polls results

On a scale of 1 to 10, rate how much this article will change your clinical practice?

NO change
BIG change
72% Article relates to my practice (8/11)
18% Article does not relate to my practice (2/11)
9% Undecided (1/11)

Will this article lead to more cost-effective healthcare?

54% Yes (6/11)
27% No (3/11)
18% Undecided (2/11)

Was this article biased? (commercial or personal)

0% Yes (0/11)
81% No (9/11)
18% Undecided (2/11)

What level of evidence do you think this article is?

0% Level 1 (0/11)
18% Level 2 (2/11)
54% Level 3 (6/11)
18% Level 4 (2/11)
9% Level 5 (1/11)