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Prosthetic components typically need replacement every 3-5 years, and socket refits are needed as the limb changes.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"Reoperation or conversion to higher amputation level within 1 year; lower for traumatic cases."},"scars":"A permanent surgical scar at the residual limb is expected; its position and length depend on the level and flap design.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single definitive operation in the usual uncomplicated protocol."},"stages":[{"code":"amputation","label":"Definitive amputation and wound closure","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on day of surgery"}}],"qualifier":"Staged guillotine approach adds a second closure operation in infected cases."},"success":{"metric":"Primary stump healing without higher-level revision","value":80,"unit":"percent","horizon":"6 months","population":"Adults with transtibial amputation for ischemia or infection","evidence_status":"limited"},"techniques":[{"name":"Digit or partial foot/hand amputation (e.g., toe, ray)","suits_whom":"Localized infection, gangrene or trauma confined to a digit or ray with adequate perfusion for healing","recovery":"Varies; generally shorter than major limb amputation, depending on wound healing"},{"name":"Transtibial (below-knee) amputation","suits_whom":"Disease or injury of the foot or distal leg when the knee can be preserved and perfusion allows healing","recovery":"Prolonged wound healing and prosthetic rehabilitation; timelines vary widely"},{"name":"Transfemoral (above-knee) amputation","suits_whom":"Extensive disease or injury above the knee-preserving level, or when lower-level healing is unlikely","recovery":"Longer rehabilitation with higher energy demand for prosthetic walking; timelines vary widely"},{"name":"Staged amputation (open guillotine followed by definitive closure)","suits_whom":"Severe infection or contamination requiring source control before closure","recovery":"Requires a second operation; overall recovery longer"}],"treatment_conditions":["inpatient"],"treatment_duration_hours":{"min":1,"max":3,"unit":"hours","qualifier":"Operating time for transtibial amputation; varies with level and complexity."},"initial_assessment_documents":["Photos of the affected limb","X-ray of the affected limb","Vascular Doppler or angiography report","Recent blood tests including HbA1c","Wound culture report (if available)","Surgical or trauma reports"],"travel_trips":{"min":1,"max":2,"one_trip_possible":true,"qualifier":"Single operation; stay 10-21 days including wound check. Staged amputation needs a second operation. Prosthetic fitting follows at home."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check you will be fully assessed before a planned amputation, to identify the most suitable type","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Unless you need to have an emergency amputation, you'll be fully assessed before surgery to identify the most suitable type of amputation and any factors that may affect your rehabilitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C2","text":"Check a thorough medical examination of your heart and lungs is included before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"The assessment is likely to include a thorough medical examination to check your physical condition, such as your cardiovascular system (heart, blood and blood vessels) and your respiratory system (lungs and airways).","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C3","text":"Check the doctor will assess the condition and function of your healthy limb","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"The doctor will also check the condition and function of your healthy limb.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C4","text":"Check whether a psychological assessment is included, to judge how you will cope and what support you need","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"It may also include a psychological assessment to determine how well you'll cope with the psychological and emotional impact of amputation, and whether you'll need additional support.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C5","text":"Check a prosthetist will advise you on the types of prosthetic limbs or devices available","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"A prosthetist (a specialist in prosthetic limbs) will advise you about the type and function of prosthetic limbs or other devices available.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C6","text":"Check whether your home, work and social surroundings will be assessed for changes you may need","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"There may be an assessment of your home, work and social environments to check if any changes will need to be made to help you cope.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"C7","text":"Check that a discharge summary letter is provided to share with doctors continuing care","scope":"procedure","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"A discharge summary letter of your hospital care is provided to share with your GP and any visiting doctors.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"A planned amputation offered with no full assessment before surgery","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Unless you need to have an emergency amputation, you'll be fully assessed before surgery to identify the most suitable type of amputation and any factors that may affect your rehabilitation.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F2","text":"An offer promising a prosthetic limb for every patient","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Prosthetic limbs are not suitable for everyone who's had an amputation because an extensive course of physiotherapy and rehabilitation is required.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"F3","text":"An offer describing recovery with no mention of rehabilitation","scope":"procedure","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"Physical rehabilitation is an important part of the recovery process.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Pain that interferes with sleep or daily activities","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain","host":"my.clevelandclinic.org","quote":"Pain that interferes with sleep or daily activities.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W2","text":"Excessive swelling or bleeding","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/procedures/21599-amputation","host":"my.clevelandclinic.org","quote":"With reduced resources for healing, wounds may be slow to close or may reopen, and you may have excessive swelling or bleeding.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"W3","text":"Fever or skin discoloration in the residual limb","urgency":"contact_clinic","general":true,"source":{"url":"https://my.clevelandclinic.org/health/diseases/12092-phantom-limb-pain","host":"my.clevelandclinic.org","quote":"Signs of infection, such as fever or skin discoloration in the residual limb.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Home doctor needs it to understand the hospital care given","document":"discharge summary letter","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"A discharge summary letter of your hospital care is provided to share with your GP and any visiting doctors.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T2","text":"Home doctor needs it to continue compression sock care","document":"compression sock instructions","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"You will receive written instructions on using the compression sock.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T3","text":"It identifies planned prosthetic and rehabilitation follow-up","document":"prosthetic appointment letter","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"You have an appointment at the Prosthetic Department to meet the prosthetic team and rehabilitation consultant.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T4","text":"It tells home doctors about planned post-discharge review","document":"follow-up appointment letter","source":{"url":"https://www.nhs.uk/tests-and-treatments/amputation/","host":"nhs.uk","quote":"You'll probably need to attend a follow-up appointment a few weeks after you leave hospital, to discuss how you're coping at home and whether you need additional help, support or equipment.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T5","text":"It documents rehabilitation arranged in the patient’s area","document":"physiotherapy referral","source":{"url":"https://www.ncic.nhs.uk/patients-visitors/patient-information-leaflets/amputee-information-patients-families-following-lower-limb-amputation","host":"ncic.nhs.uk","quote":"Physiotherapy is arranged in your area.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},{"id":"T6","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your limb might be saved using advanced surgical techniques","name":"Limb salvage surgery","source":{"url":"https://my.clevelandclinic.org/health/procedures/21599-amputation","host":"my.clevelandclinic.org","quote":"In some cases, they might be able to attempt to save your limb using advanced surgical techniques.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null},{"id":"A2","text":"You want to preserve as much mobility as possible","name":"Rotationplasty","source":{"url":"https://my.clevelandclinic.org/health/procedures/rotationplasty","host":"my.clevelandclinic.org","quote":"Rotationplasty is one option when you need surgery to remove part of your upper leg but want to preserve as much mobility and durability as possible.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200},"operation_id":null}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1},"technique_details":{"status":"ok","items":[{"id":"digit","name":"Digit or partial foot/hand amputation (e.g., toe, ray)","how_it_works":{"text":"Surgeons remove damaged tissue while preserving healthy limb tissue","source":{"url":"https://my.clevelandclinic.org/health/procedures/21599-amputation","host":"my.clevelandclinic.org","quote":"During surgery, your surgeon will remove all diseased and damaged tissues.","tier":"tier1_medical","fetched_at":"2026-11-13","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transtibial-amputation","name":"Transtibial (below-knee) amputation","how_it_works":{"text":"The lower leg is removed below the knee","source":{"url":"https://www.healthline.com/health/amputation","host":"healthline.com","quote":"Also known as a below-knee amputation.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"transfemoral-amputation","name":"Transfemoral (above-knee) amputation","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"staged-amputation","name":"Staged amputation (open guillotine followed by definitive closure)","how_it_works":{"status":"missing","reason":"no_official_source"},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-13","next_check_at":"2027-11-13","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=israel/city=ierusalim/procedure=amputaciya-konechnosti/"}],"offerFilters":{"offer_count":0,"price_filter":{"from":0,"to":0,"avg":0}},"rendersOffersList":false,"fewClinics":true,"topCountriesCount":0}