Institutional members access full text with Ovid®

Share this article on:

Gritti-Stokes Amputations in the Trauma Patient: Clinical Comparisons and Subjective Outcomes

Taylor, Benjamin C. MD; Poka, Attila MD; French, Bruce G. MD; Fowler, T. Ty MD; Mehta, Sanjay MD

Journal of Bone & Joint Surgery - American Volume: 4 April 2012 - Volume 94 - Issue 7 - p 602–608
doi: 10.2106/JBJS.K.00557
Scientific Articles

Background: The Gritti-Stokes amputation procedure is a modification of the traditional transfemoral amputation, with resection of the bone at a supracondylar femoral level and fixation of the patella to the distal part of the femur as an end-cap. Although well-established in patients with vascular compromise, no evidence exists on its use in the trauma setting.

Methods: Fourteen consecutive patients who underwent Gritti-Stokes amputation and fifteen consecutive patients who underwent traditional transfemoral amputation by fellowship-trained orthopaedic traumatologists at a level-I trauma center were evaluated at more than fourteen months postoperatively. The Sickness Impact Profile (SIP) questionnaire was also administered to both patient groups at more than thirty-six months postoperatively to assess patient-reported functional outcomes.

Results: Despite the two groups not having significant differences in preoperative variables or demographics, the Gritti-Stokes group had significantly improved SIP questionnaire overall and domain scores. This procedure also left the patients with a significantly longer residual limb (an average of 46.1 cm of residual femoral length versus 34.6 cm for the transfemoral group). The Gritti-Stokes group also had a significantly increased rate of walking without assistive devices (five patients versus none in the transfemoral amputation group).

Conclusions: The Gritti-Stokes amputation appears to be safe and beneficial when utilized in the trauma population.

Level of Evidence: Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.

1Department of Orthopedic Surgery, Grant Medical Center, 285 East State Street, Suite 500, Columbus, OH 43215. E-mail address for B.C. Taylor: drbentaylor@gmail.com

2Department of Orthopedic Surgery, Mount Carmel Medical Center, 793 West State Street, Columbus, OH 43222

Copyright 2012 by The Journal of Bone and Joint Surgery, Incorporated
You currently do not have access to this article

To access this article: