A Case of Above Knee Amputation with Preoperative High Risks

An 85-year-old malnourished man was admitted with ischemia-induced necrosis of the right leg and high-risk factors, including chronic obstructive pulmonary disease, pneumonia, and infection of the necrotic leg. We controlled the infection and provided proper nutrition. Using light general anesthesia...

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Detalles Bibliográficos
Autores principales: Kinugawa, Hiroki, Shimada, Yasuyuki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Association of Rural Medicine 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310149/
https://www.ncbi.nlm.nih.gov/pubmed/25648570
http://dx.doi.org/10.2185/jrm.2888
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author Kinugawa, Hiroki
Shimada, Yasuyuki
author_facet Kinugawa, Hiroki
Shimada, Yasuyuki
author_sort Kinugawa, Hiroki
collection PubMed
description An 85-year-old malnourished man was admitted with ischemia-induced necrosis of the right leg and high-risk factors, including chronic obstructive pulmonary disease, pneumonia, and infection of the necrotic leg. We controlled the infection and provided proper nutrition. Using light general anesthesia and a nerve block, we amputated the leg above the knee. The patient could eat and drink the same day following the surgery, and respiratory rehabilitation was begun the next day. His postoperative course was uneventful. Our case suggests that maintenance of good nutrition may play a key role for high-risk elders undergoing leg amputation.
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spelling pubmed-43101492015-02-03 A Case of Above Knee Amputation with Preoperative High Risks Kinugawa, Hiroki Shimada, Yasuyuki J Rural Med Case Report An 85-year-old malnourished man was admitted with ischemia-induced necrosis of the right leg and high-risk factors, including chronic obstructive pulmonary disease, pneumonia, and infection of the necrotic leg. We controlled the infection and provided proper nutrition. Using light general anesthesia and a nerve block, we amputated the leg above the knee. The patient could eat and drink the same day following the surgery, and respiratory rehabilitation was begun the next day. His postoperative course was uneventful. Our case suggests that maintenance of good nutrition may play a key role for high-risk elders undergoing leg amputation. The Japanese Association of Rural Medicine 2014-10-06 2014 /pmc/articles/PMC4310149/ /pubmed/25648570 http://dx.doi.org/10.2185/jrm.2888 Text en ©2014 The Japanese Association of Rural Medicine http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License.
spellingShingle Case Report
Kinugawa, Hiroki
Shimada, Yasuyuki
A Case of Above Knee Amputation with Preoperative High Risks
title A Case of Above Knee Amputation with Preoperative High Risks
title_full A Case of Above Knee Amputation with Preoperative High Risks
title_fullStr A Case of Above Knee Amputation with Preoperative High Risks
title_full_unstemmed A Case of Above Knee Amputation with Preoperative High Risks
title_short A Case of Above Knee Amputation with Preoperative High Risks
title_sort case of above knee amputation with preoperative high risks
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4310149/
https://www.ncbi.nlm.nih.gov/pubmed/25648570
http://dx.doi.org/10.2185/jrm.2888
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