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Inadequate posterior skin flap
2%
33/1760
Inadequate anterior skin flap
1%
15/1760
Failure to bevel the distal femur
28/1760
Lack of abductor myodesis to femur
5%
82/1760
Lack of adductor myodesis to femur
91%
1595/1760
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Adductor myodesis is a critical part of a transfemoral amputation. If it is not performed, then the abductors and hip flexors can cause the femur to abduct, leading to severe problems with gait. The gait disturbance persists despite proper prosthetic fitting. A transfemoral amputation is usually performed with equal anterior and posterior flaps. Pinzur et al highlight the fact that amputations are reconstructive procedures and should leave the patient with a functional residual limb.
4.2
(25)
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