Through The Knee
If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur an d patella untouched offers many advantages. The surgical technique is simple and non-traumatic since n o bone or muscle tissue is to be dissected. The thigh muscles are completely preserved and thus there is n o muscular imbalance. The stump permits total end bearing and its bulbous shape permits easy and firm attachment of the prosthesis. A specially designed double-wall socket and various types of knee joints are presented. Modern prostheses are superior to above-knee prostheses with regard to function, comfort and cosmesis.
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