AMPUTATION LEVEL FOR ATHEROSCLEROTIC GANGRENE

Objective To study the amputation level in the treatment of atherosclerotic gangrene. Methods The authors reviewed 42 patients underwent amputation for dry gangrene of leg due to atherosclerosis obliterans. According to the clinical and pathological features of this illness, 5 items , i.e. region of rest pain, location of gangrene, nutritious alteration of affected legs, the part of arterial occlusion as well as the elevating and declining tests of the affected legs, were selected for evaluation and grading standards made after statistical analysis. Results According the criteria , 4 patients scored 7; 5 patients scored 6; 8 patients scored 5; 12 patients scored 4 and 3 patients scored less than 4. Conclusion The atherosclerotic gangrene patients whose scores exceed or equal to 5 points should undergo femoral amputation, for those less than 5 points , a tibien amputation be done.