KnotesFree Orthopaedic & FRCS notes, viva stations and higher order SBAs

Amputation

Must KnowFoot & AnklethinKbox SBA

Factors involved

  • Time
  • Type
  • Transport
  • No of digits
  • Associated injuries
  • Patient factors

Time

Column 1 Column 2 Column 3
Cold ischemia Warm ischemia
Prox to wrist 12 6
Distal to wrist 24 12

Type

  • Reattach
    • Children
    • Multiple
    • Thumb
    • Distal to FDS insertion
  • Do not reattach
    • Prox to FDS attach
    • Single in adult
    • Crushed

Transport

  • Saline socked dressing
  • In airtight plastic bag
  • Immerse in ice water
  • Stump: saline socked compression dressing, elevate

Order

  • B
  • E
  • F
  • A
  • V
  • N
  • S

Written/reviewed by Kishore Puthezhath

Professor of Orthopaedics and Consultant Paediatric Orthopaedic Surgeon

FRCS (Tr & Orth) revision resource

Reviewed: September 2026