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Above-knee-amputation (transfemoral)
90%
1824/2037
Below-knee-amputation (transtibial)
1%
30/2037
Through Knee
7%
135/2037
Syme
17/2037
Midfoot
20/2037
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The general trend is increasing energy requirement for more proximal amputations. Amputation should be performed at the lowest possible level in order to preserve the most function. Pinzur compared 5 patients with amputations at midfoot, Syme’s, BKA, through knee, and AKA with five controls. Walking speed and cadence decreased while oxygen consumption per meter walked increased with each more proximal amputation. The only exception is the Syme which was the most energy efficient even though it is more proximal to the midfoot amputation.
4.1
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