Leg amputation - Revision history

Mikael Häggström: /* Gross processing */ parenthesis

2022-02-11T23:33:08Z

Gross processing: parenthesis

← Older revision		Revision as of 19:33, 11 February 2022
Line 6:		Line 6:

	==Gross processing==		==Gross processing==
	Look up the history of the patient. If the amputation was done for '''vascular insufficiency''', look for any imaging that identifies the most affected large vessels, and focus on examining those. Review the 3-dimensional anatomy of the major blood vessels of the leg (such as at [https://www.zygotebody.com/ Zygote Body] so that you will be able to find them.		Look up the history of the patient. If the amputation was done for '''vascular insufficiency''', look for any imaging that identifies the most affected large vessels, and focus on examining those. Review the 3-dimensional anatomy of the major blood vessels of the leg (such as at [https://www.zygotebody.com/ Zygote Body]) so that you will be able to find them.

	If ulcer(s) are identified, describe cut surfaces of the underlying bone(s).		If ulcer(s) are identified, describe cut surfaces of the underlying bone(s).

Mikael Häggström: /* Gross processing */ Review

2022-02-11T23:32:33Z

Gross processing: Review

← Older revision		Revision as of 19:32, 11 February 2022
Line 6:		Line 6:

	==Gross processing==		==Gross processing==
	Look up the history of the patient. If the amputation was done for vascular insufficiency, look for any imaging that identifies the most affected large vessels, and focus on examining those.		Look up the history of the patient. If the amputation was done for '''vascular insufficiency''', look for any imaging that identifies the most affected large vessels, and focus on examining those. Review the 3-dimensional anatomy of the major blood vessels of the leg (such as at [https://www.zygotebody.com/ Zygote Body] so that you will be able to find them.

	If ulcer(s) are identified, describe cut surfaces of the underlying bone(s).		If ulcer(s) are identified, describe cut surfaces of the underlying bone(s).
Line 13:		Line 13:

	===Gross report===		===Gross report===
	Example:		Example for use in vascular insufficiency:

	{{Grossreport-begin\|fresh=yes}} an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery and peroneal artery with up to 50% occlusion, and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.		{{Grossreport-begin\|fresh=yes}} an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery and peroneal artery with up to 50% occlusion, and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.
	<br>KEY OF SECTIONS:		<br>KEY OF SECTIONS:

Mikael Häggström: /* Gross report */ Fixed

2021-07-08T18:24:34Z

Gross report: Fixed

← Older revision		Revision as of 14:24, 8 July 2021
Line 15:		Line 15:
	Example:		Example:

	{{Grossreport-begin\|fresh=yes}} an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery with up to 50% occlusion and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.		{{Grossreport-begin\|fresh=yes}} an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery and peroneal artery with up to 50% occlusion, and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.
	<br>KEY OF SECTIONS:		<br>KEY OF SECTIONS:
	<br>A1. Bone marrow at margin of resection		<br>A1. Bone marrow at margin of resection

Mikael Häggström: /* Gross report */ Fixed

2021-07-08T18:22:18Z

Gross report: Fixed

← Older revision		Revision as of 14:22, 8 July 2021
Line 15:		Line 15:
	Example:		Example:

	{{Grossreport-begin\|fresh=yes}}		{{Grossreport-begin\|fresh=yes}} an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery with up to 50% occlusion and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.
	\|[an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery with up to 50% occlusion and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.
	<br>KEY OF SECTIONS:		<br>KEY OF SECTIONS:
	<br>A1. Bone marrow at margin of resection		<br>A1. Bone marrow at margin of resection
Line 28:		Line 27:
	<br>A9. Dorsalis pedis artery		<br>A9. Dorsalis pedis artery
	\|}		\|}
			{{Bottom}}

Mikael Häggström: Started

2021-07-08T18:21:52Z

Started

New page

{{Top
|author1=[[User:Mikael Häggström|Mikael Häggström]]
|author2=
}}
'''[[Amputation]]''' of a leg.

==Gross processing==
Look up the history of the patient. If the amputation was done for vascular insufficiency, look for any imaging that identifies the most affected large vessels, and focus on examining those.

If ulcer(s) are identified, describe cut surfaces of the underlying bone(s).

For the proximal bony margin, gouge out some of the bone marrow at this location.

===Gross report===
Example:

{{Grossreport-begin|fresh=yes}}
|[an above-the-knee amputation, amputated __ cm proximal to the knee (top of patella). The specimen has a total length of __ cm. There has been a previous trans-metatarsal amputation. __ cm of exposed bone is present at the surgical margins. The cutaneous and soft tissue margins appear viable. The skin surface of the specimen is tan and smooth, with a protuberance on the mid-anterior aspect near the tibial tuberosity with an overlying similar wound measuring 4.2 x 3.3 cm. This wound is 19.5 cm from the surgical margin of resection. The major arteries are dissected out from the specimen. The anterior tibial artery shows calcific atherosclerosis with up to 70% luminal occlusion, the posterior tibial artery with up to 50% occlusion and dorsalis pedis artery with up to 30% occlusion. Representative sections are submitted for microscopic examination in ___ cassettes following decalcification.
 KEY OF SECTIONS:
 A1. Bone marrow at margin of resection
 A2. Skin and soft tissue margin
 A3. Vascular margin
 A4. Section of large wound at stump
 A5. Section of bone under large wound at stump
 A6. Anterior tibial artery
 A7. Posterior tibial artery
 A8. Peroneal artery
 A9. Dorsalis pedis artery
|}