Lower limb surgery
Lower limb surgery at Helsinki Hospital is typically related to an injury or disorder that requires plastic surgery, orthopedic expertise, and vascular surgery. Examples include wound complications following lower limb fractures or Achilles tendon repair surgery, as well as deformities of limbs and scar problems caused by an injury or disease. For example, some nerve damage or spasticity associated with neurological disorders can lead to foot deformity that can be treated with tendon balancing surgery.
Foot deformities related to diabetic neuropathy may also benefit from ossification surgery or from tendon balancing procedures.
If none of the possible corrective procedures, nor the use of aids, provides sufficient relief, lower limb amputation can improve functional capacity and the quality of life of the patient. A decision to amputate should always be given thorough consideration, both by the patient and the attending physicians. The level of amputation is always determined individually. It is affected by blood circulation, the function of the remaining tissue, and the patient’s potential for rehabilitation following the amputation. For diabetic patients, part of the foot is saved whenever possible and if circulation is likely to be sufficient.
Problems after amputation of a limb include skin problems (excessive or lack of soft tissue) and pain related to localized nerve scarring that can impede the use of a prosthesis. These problems can often be treated surgically if an adjustment of the prosthesis is not sufficient.
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