Which complication of amputation may result in the need for revision surgery?

The primary goal of surgical amputation is to remove the diseased or damaged tissue to promote healing and prevent the spread of infection. While pain relief and restoration of function are important considerations, the main purpose of amputation is to address the underlying condition and improve the patient's overall health and well-being.

a. To eliminate all pain and discomfort in the affected limb: While pain relief is a desired outcome of amputation, it is not always possible to eliminate all pain and discomfort. The goal is to manage pain effectively and improve the patient's quality of life.
b. To restore full function and mobility of the limb: Restoring full function and mobility may not always be achievable after amputation. The extent of functional restoration depends on various factors, including the level of amputation and the patient's overall health.
c. To achieve the most cosmetically appealing result: While achieving a cosmetically appealing result may be important for some patients, it is not the primary goal of amputation. The focus is on medical necessity and addressing the underlying condition.

The appropriate method of positioning the residual limb in the post-operative period for a patient who underwent a below-the-knee amputation is to elevate the residual limb on a pillow. Elevating the limb helps reduce swelling and promotes venous return, which can enhance healing and prevent complications.

a. Keep the residual limb in a dependent position: Keeping the residual limb in a dependent position (hanging down) can impede venous return and increase swelling. It is not the recommended position for post-operative care.
b. Maintain the residual limb in a flexed position: Keeping the residual limb in a flexed position may increase pressure on the surgical site and hinder proper wound healing. A flexed position is not the recommended post-operative positioning for the residual limb.
d. Keep the residual limb in a neutral, flat position: While keeping the residual limb in a neutral, flat position is generally recommended for some post-operative care, elevating the limb on a pillow is preferred in the immediate post-operative period for below-the-knee amputation to reduce swelling and promote healing.