Modified Gritti–Stokes amputation: tips and tricks Article Swipe
Laura Walthert
,
Michael Ris
,
Kevin Moerenhout
,
Sébastien Déglise
,
Pietro G. di Summa
,
Sylvain Steinmetz
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1530/eor-23-0118
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1530/eor-23-0118
Major amputations of the lower extremity may be required after trauma and a variety of underlying diseases such as peripheral vascular disease, diabetes, and malignancies. The goal of any major amputation is an optimal functional result with a maximum limb length in combination with optimal wound healing. The preservation of the knee joint is essential for successful rehabilitation, and this is best achieved by the Burgess below-knee amputation (BKA). Whenever a BKA is not possible, the Gritti–Stokes amputation is our first choice. This technique mainly consists of a through-knee amputation with the creation of a pedicled patella flap consisting of the patella, patellar ligament, and overlying soft tissue. After osteotomy of the distal femur and resection of the articular surface of the patella, the anterior flap is rotated in order to cover the femur defect while performing a patellofemoral arthrodesis. The aim of this paper is to describe our surgical technique and experience with GSA and to point out the important steps of this procedure. In conclusion, GSA is an excellent surgical option for patients requiring major lower limb amputations where BKA cannot be considered. Particular attention must be paid to careful preoperative evaluation and optimization of comorbidities. A meticulous surgical technique is warranted, including atraumatic tissue handling and an optimal patellofemoral arthrodesis technique.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1530/eor-23-0118
- https://eor.bioscientifica.com/downloadpdf/view/journals/eor/9/4/EOR-23-0118.pdf
- OA Status
- gold
- Cited By
- 1
- References
- 36
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4393949227
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4393949227Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1530/eor-23-0118Digital Object Identifier
- Title
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Modified Gritti–Stokes amputation: tips and tricksWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-04-01Full publication date if available
- Authors
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Laura Walthert, Michael Ris, Kevin Moerenhout, Sébastien Déglise, Pietro G. di Summa, Sylvain SteinmetzList of authors in order
- Landing page
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https://doi.org/10.1530/eor-23-0118Publisher landing page
- PDF URL
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https://eor.bioscientifica.com/downloadpdf/view/journals/eor/9/4/EOR-23-0118.pdfDirect link to full text PDF
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://eor.bioscientifica.com/downloadpdf/view/journals/eor/9/4/EOR-23-0118.pdfDirect OA link when available
- Concepts
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Medicine, Amputation, Patella, Surgery, Soft tissue, Femur, Osteotomy, Arthrodesis, Knee Joint, Alternative medicine, PathologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
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36Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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