Below knee amputation

Below Knee Amputation (BKA) is a surgical procedure performed to remove the lower limb below the knee when that limb has been severely damaged or is diseased. The procedure is performed to alleviate pain, save or improve the patient's quality of life, and, in some cases, save the patient's life.

Indications

The primary indications for a below knee amputation are severe trauma to the lower limb, infection, malignancy, and vascular disease such as peripheral artery disease (PAD). In many cases, BKA is performed as a last resort after all other treatment options have been exhausted.

Procedure

The procedure involves the surgical removal of the lower leg below the knee. The surgeon will make an incision around the leg, cutting through skin, muscle, and bone. The surgeon will then close the wound with stitches or staples and apply a dressing. The patient will be left with a residual limb, or stump, which can be fitted with a prosthetic limb after healing.

Rehabilitation

Following a below knee amputation, rehabilitation is crucial for the patient to regain mobility and independence. This typically involves physical therapy, occupational therapy, and the fitting and use of a prosthetic limb. The patient will learn how to care for their residual limb, how to use their new prosthetic, and how to adapt to their new physical condition.

Complications

As with any surgical procedure, there are potential complications associated with a below knee amputation. These can include infection, blood clots, and issues related to the use of a prosthetic limb such as skin irritation and discomfort. Psychological complications, such as depression and anxiety, are also common following an amputation.

See Also

• Amputation
• Prosthetic Limb
• Rehabilitation
• Peripheral Artery Disease