Journal of Rural Medicine
Online ISSN : 1880-4888
Print ISSN : 1880-487X
ISSN-L : 1880-487X
Case report
A Case of Above Knee Amputation with Preoperative High Risks
Hiroki KinugawaYasuyuki Shimada
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JOURNAL FREE ACCESS

2014 Volume 9 Issue 2 Pages 90-92

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Abstract
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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© 2014 by THE JAPANESE ASSOCIATION OF RURAL MEDICINE
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