Transfemoral Amputation: Biomechanics and Surgery.Gottschalk, Frank MD Section Editor(s): Gottschalk, Frank MDAuthor Information From the Department of Orthopaedic Surgery, University of Texas Southwestern Medical Center Dallas, Dallas, TX. Reprint requests to Frank Gottschalk, MD, Department of Orthopaedic Surgery, Univerisity of Texas Southwestern Medical Center Dallas, 5323 Harry Hines Boulevard, Dallas, TX 75235-8883. Clinical Orthopaedics and Related Research (1976-2007): April 1999 - Volume 361 - Issue - pp 15-22 Buy Abstract The technique of transfemoral amputation has evolved during the last decade whereby muscle stabilization and biomechanical principles have gained new significance. Maintenance of the femoral shaft axis close to normal can be achieved by preservation of the adductor magnus and by myodesis of the muscle to the residual femur. By following established biomechanical principles, and satisfactory surgical techniques, patients undergoing transfemoral amputation are easier to fit with a prosthesis and more likely to remain able to ambulate. Reduction in stump problems can be achieved, and improvement in stump strength is seen. © 1999 Lippincott Williams & Wilkins, Inc.