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Volume 60
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Review

The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review

by
Marwan Garaud
1,2,*,
Louis-Romée Le Nail
2,
Bandar Hetaimish
3,
Julien Berhouet
2 and
Ramy Samargandi
2,3
1
Service de Chirurgie Orthopédique et Traumatologique, Clinique Jeanne d’Arc, 45500 Gien, France
2
Service de Chirurgie Orthopédique et Traumatologique, Centre Hospitalier Régional Universitaire (CHRU) de Tours, 1C Avenue de la République, 37170 Chambray-les-Tours, France
3
Department of Orthopedic Surgery, Faculty of Medicine, University of Jeddah, Jeddah 23218, Saudi Arabia
*
Author to whom correspondence should be addressed.
Medicina 2024, 60(6), 911; https://doi.org/10.3390/medicina60060911
Submission received: 10 May 2024 / Revised: 27 May 2024 / Accepted: 28 May 2024 / Published: 30 May 2024
(This article belongs to the Section Surgery)
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Abstract

Lower limb amputation is a common surgical procedure performed worldwide. Many individuals require amputation due to various circumstances, with amputations occurring above or below the knee. Surgeons rely on published research to determine the most appropriate technique based on intraoperative and postoperative outcomes. The Gritti–Stokes amputation (GSA) procedure, introduced in 1857, has shown positive results in terms of primary wound healing, reduced mortality rates during and after surgery, and accelerated healing and mobility. However, due to the need for highly trained surgeons and limitations in functional and cosmetic prosthesis fitting, concerns have been raised regarding its utility. Additionally, the procedure is underutilized in cases where it could potentially yield better results. This article provides a comprehensive review of the documented benefits of GSA, suitable candidate selection, limitations, various modifications, and a comparison with traditional approaches to lower limb amputation. The review is focused on evidence published in the last 100 years.
Keywords: Gritti–Stokes; amputation; below-knee amputation; transfemoral amputation; rehabilitation; prosthetic fitting; peripheral vascular disease Gritti–Stokes; amputation; below-knee amputation; transfemoral amputation; rehabilitation; prosthetic fitting; peripheral vascular disease

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MDPI and ACS Style

Garaud, M.; Le Nail, L.-R.; Hetaimish, B.; Berhouet, J.; Samargandi, R. The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review. Medicina 2024, 60, 911. https://doi.org/10.3390/medicina60060911

AMA Style

Garaud M, Le Nail L-R, Hetaimish B, Berhouet J, Samargandi R. The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review. Medicina. 2024; 60(6):911. https://doi.org/10.3390/medicina60060911

Chicago/Turabian Style

Garaud, Marwan, Louis-Romée Le Nail, Bandar Hetaimish, Julien Berhouet, and Ramy Samargandi. 2024. "The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review" Medicina 60, no. 6: 911. https://doi.org/10.3390/medicina60060911

APA Style

Garaud, M., Le Nail, L.-R., Hetaimish, B., Berhouet, J., & Samargandi, R. (2024). The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review. Medicina, 60(6), 911. https://doi.org/10.3390/medicina60060911

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