The Pirogoff's amputation is a surgical technique first described the Russian surgeon, Nikolai Pirogoff, in 1854. The procedure entails the amputation of the forefoot. The lower articular surfaces of the tibia and fibula are sawed through and the ends covered with a portion of the os calcis that has also been sawed through from above posteriorly downward and forward. This technique is to minimize the loss of limb length, provide stable soft tissue coverage, and preserve the sensation of the sole of the heel. It is performed on patients whose foot suffers from gangrene or infection brought about by advanced diabetes or atherosclerotic disease. It may also be indicated in malignancy, trauma, and frostbite.
- Langeveld, A. R., Oostenbroek, R. J., Wijffels, M. P. et al. (2010). The Pirogoff amputation for necrosis of the forefoot: a case report. J Bone Joint Surg Am. 92 (4): 968-72.
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