[SavageGlow]

A middle aged man presented to the emergency room with a crush amputation of his lower leg.

The leg was not salvageable so he underwent a below knee amputation, the post-op photos are shown at the end.

A below-knee amputation (BKA) is a transtibial amputation that involves removing the foot, ankle joint, and distal tibia and fibula with related soft tissue structures. In general, a BKA is preferred over an above-knee amputation (AKA), as the former has better rehabilitation and functional outcomes.

There are 4 fascial compartments in the lower leg, containing muscles to the leg and foot and important neurovascular structures. While a BKA divides all compartments, a thorough grasp of the relevant anatomy is vital to controlling blood loss intraoperatively and preventing known complications.

This surgical operation carries significant morbidity, yet it remains a treatment modality with vital clinical and often life-saving significance given appropriate indications.

[Pyramid_Head]

Better than losing a hand I suppose.

[marcos_69]

Picture 3...he's a fast healer.

[ride]

I had a crush once, but I didn’t lose a foot over her.

[SavageGlow]

More photos courtesy of Kellyhound