BELOW-KNEE AMPUTATION (TRANSTIBIAL AMPUTATION)
Indication: Irreversible critical lower limb ischaemia with tissue loss or gangrene not amenable to revascularisation, or failed revascularisation. Also for diabetic foot with infection/osteomyelitis not amenable to local debridement. Preserving the knee joint significantly improves rehabilitation potential compared with above-knee amputation.
Patient Position: Supine.
Anaesthesia: General or regional (spinal).