Innovations in Gritti-Stokes Amputation: A Focused Analysis of Immobile Patient Outcomes
Background Major lower limb amputation is a surgical operation performed for different reasons, including life-threatening infection, ischemia, trauma, and tumors. This study aims to investigate the viability of Gritti-Stokes amputation as a suitable alternative for individuals with impaired mobility and peripheral vascular disease. Patients and methods This was a descriptive, retrospective, and observational study. All patients who met the criteria and underwent Gritti-Stokes amputation were included. The study had a duration of one year, commencing in December 2022 and concluding in December 2023. The data was processed using statistical software (SPSS, version 21; IBM Corp., Armonk, NY, US). Results Twenty-four patients were included. Concerning the complications, 16 patients (66.7%) did not experience any complications, while 7 patients (29.2%) had stump infections. Three of them ultimately required more extensive amputation. A phantom limb was observed in a single patient, accounting for a mere 4.2% of the total. Total of 21 patients, 87.5% reported great stability and lever motion when transitioning from bed to chair, as well as vice versa. Furthermore, wound healing was observed in 21 individuals (87.5%), encompassing both primary and secondary wound healing. Conclusion The Gritti-Stokes amputation provides patients with excellent stability and lever function to facilitate movement. The Gritti-Stokes amputation is a suitable option for immobile and high-risk patients.
Authors
- Tarig Barakat
- Waseem Ahmad (ORCID: https://orcid.org/0000-0001-6670-1051)
- Mohamed S M Elshikhawoda
- Sohaib Jararaa
- Mahmoud Okaz
- Abdillahi Ahmed Roble
- Ehsan Nawaz
- Hisham Abdelrheem Abdelrhman Hamad
- Heledd Catrin Thomas
- Muhammad Numan Zahid
Institutions
- Glan Clwyd Hospital (GB)
- Royal London Hospital (GB)
- University of Bahri (SD)
Publication Details
- Journal
- Cureus
- Published
- 2024-09-23
- DOI
- https://doi.org/10.7759/cureus.69998
- Citations
- 1
- Primary Topic
- Peripheral Artery Disease Management
- Type
- article
- Field-Weighted Citation Impact
- 0.57