What are the contraindications for guillotine ankle amputation?

Updated: Nov 18, 2019
  • Author: Vinod K Panchbhavi, MD, FACS; Chief Editor: Erik D Schraga, MD  more...
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A guillotine-type amputation is not indicated if amputation is contemplated for conditions such as tumors or trauma or when no risk for spread of infection from a distal lesion exists.

In patients with severe peripheral vascular disease, the level of guillotine amputation may have to be higher. Wound healing for subsequent amputation is determined by the presence of adequate vascularity to heal a surgical wound.

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