Knee Disarticulations and its Positive Aspects Compared to Transfemoral Amputation.

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Submitted by Assist. Lect. Muntadher Saleh Mahdi.<br /><br />It is common knowledge that amputation results in the amputee experiencing a significant decline in quality of life and the loss of a fundamental bodily function. Nevertheless, when performed appropriately and for the right reasons, an amputation can be a crucial step in the recovery process. <br />Due to the complete preservation of the femur during knee disarticulation, the distal femoral condyle will also remain undamaged. The femoral condyles are made to hold weight because they are covered in cartilage. The person wearing a prosthesis has a mechanical advantage because the whole femur is still there. A socket replacement or revision is needed less often than a transtibial or transfemoral residual limb.<br />Because there are drawbacks to transfemoral amputation, individuals who have this procedure often develop trunk and pelvic movement asymmetries to compensate for the loss of a limb and help them distribute their weight when walking. The suspension system in femur amputations puts body weight-bearing pressure on the ischial tuberosity and the gluteal muscles nearby, which also puts a lot of pressure on the proximal part of the residual limb and the area around the pelvis. This can lead to fatigue in those areas over time because the body's natural pressure distribution mechanism is for the body's weight bearing to be directed to the distal parts of the lower limbs.