Despite modern conservative and surgical procedures, the number of amputations of the lower limb remains at a consistently high level. With the demographic changes and the consequent prevalence of atherosclerosis and diabetes mellitus, there is a steady increase of the risk factors that can lead to an amputation. The cause, which ultimately leads to the loss of the affected limb is therefore a symptom of the underlying disease. Primarily, the purpose of any medical treatment is the prevention of any amputation. If the preservation of the limb is not achievable, the surgical procedure follows. In principle the preparation of the stump should be as peripheral as possible. The actual prosthetic fitting starts with the dimension and the impression (negative-copy) of the prosthesis a few weeks following surgery. The technical requirements of a prosthesis will depend on the degree of mobility and the medical history of the patient. Prosthetic adjustments are available for all amputation levels and activities. The essential basic modules of a modern prosthesis can be combined and exchanged freely, so as to allow a change of function, form and axis. The aim of rehabilitation is the full reintegration into daily life. Especially young patients can provide amazing professional and athletic achievements.
Auch durch die Fortschritte der heutigen Medizin ist es nicht immer möglich, eine Amputation zu verhindern. Die wesentliche und schwierigste Aufgabe in der Amputationschirurgie ist es, die richtige Indikation zu stellen und für jeden Patienten individuell zu entscheiden. Die anschließende Prothesenversorgung bleibt eine Herausforderung, um den steigenden Ansprüchen des Betroffenen standzuhalten.
Georg Thieme Verlag KG Stuttgart · New York.