Pirogoff amputation was originally described by Russian surgeon Nicholas Pirogoff in 1864. It refers to the osteoplastic amputation distal to the ankle joint, talus resection and bone fusion of the tibia and the calcaneus. Its advantages are as follows: less loss in limb length, the possibility of full weight bearing, and the use of a more anatomical prosthesis. We present herein two cases: a 38 year-old female patient who underwent Chopart amputation after a gunshot wound and developed a plantar flexion deformity that prevented proper use of the prosthesis; and a 39 year-old male with sequela of fibular hemimelia, with severe foot deformity preventing proper use of the extremity and footwear. This treatment is proposed as an alternative to traditional amputation levels, particularly in cases in which, due to the disease characteristics, foot reconstruction is not possible and therefore the possibility of a less radical and less limiting procedure is considered.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Pirogoff amputation is a viable option to maintain ambulation in chronic limb-threatening ischemia with extensive midfoot tissue loss: a report of two cases.
J Surg Case Rep
March 2024
Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan.
Eliminating necrotic and infected tissues is crucial for limb salvage in patients with chronic limb-threatening ischemia (CLTI). However, extensive lesions that involve the midfoot frequently result in transtibial amputation, restricting ambulation and independent life. The Modified Pirogoff amputation, which includes a 90° rotation of the calcaneus and fixation with the tibia, has good functional outcomes in trauma cases.
View Article and Find Full Text PDFOutcome of Modified Pirogoff Amputation for Diabetic Foot Infection: A Single-Center Case Series.
Cureus
September 2023
Department of Orthopedics and Traumatology, Hospital Raja Permaisuri Bainun, Ipoh, MYS.
Introduction: Diabetic-related foot condition is one of the most debilitating complications with a higher rate of failure in limb correction, reconstruction, or salvage surgery. Amputation is the final option after other surgical treatments have failed. Major amputation increases energy consumption, resulting in high dependency, decreased mobility, and poor prognosis.
View Article and Find Full Text PDFMid- and Hindfoot Amputations in Diabetic Patients.
Foot Ankle Clin
September 2022
Division of Technical Orthopaedics, Department of Orthopaedic Surgery, Balgrist University Hospital, Zurich, Switzerland; Universitätsklinik Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland. Electronic address:
Several surgical options exist to avoid or at least to delay a below-the-knee amputation (BKA). These are the so-called mid- or hindfoot amputations. They are a valuable treatment option in order to maintain the ability to ambulate without major auxiliary means (eg, a prosthesis).
View Article and Find Full Text PDFRehabilitation of a Patient with Pirogoff Amputation and Two-year Follow-up: A Case Report.
Prog Rehabil Med
January 2021
Department of Rehabilitation Medicine, Showa University Fujigaoka Rehabilitation Hospital, Kanagawa, Japan.
Background: Pirogoff amputation is a calcaneal amputation invented by Nicolás Pirogoff that involves partial preservation of the calcaneus.
Case: A 59-year-old woman was diagnosed with left Lisfranc and Chopart joint fracture-dislocation 9 months after a fall. The patient underwent debridement together with Pirogoff amputation and surgery to place an Ilizarov external fixator.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!