TY - JOUR
AR - SCR-2020-2-101
TI - Pirogoff Amputation with a Disappointing Outcome: A Case Report
AU - Annelies van der, Vegt
AU - Joannes, H.B. Geertzen
AU - Maria, A. Paping
JO - Surgical Case Reports
PY - 2020
DA - Fri 07, Feb 2020
SN - 2613-5965
DO - http://dx.doi.org/10.31487/j.SCR.2020.02.01
UR - https://www.sciencerepository.org/pirogoff-amputation-with-a-disappointing-outcome_SCR-2020-2-101 
KW - Pirogoff amputation, Hindfoot amputation, Rehabilitation
AB - Case Presentation: A 53-year-old motorcyclist suffered trauma with an extensive foot injury. A Pirogoff
amputation was performed. A hindfoot amputation might be considered as an alternative option rather than
directly proceeding to a trans-tibial amputation.
Results: A Pirogoff amputation was performed with a disappointing course afterward. Subsequently, we
performed a literature search on the Pirogoff amputation.
Conclusion: Further research is needed concerning the optimal amputation level for patients who need a
hindfoot amputation since good studies are lacking. In general, a major advantage of the Pirogoff amputation
is the possibility of some barefoot mobility. The disadvantages are fitting problems due to a bulbous stump
and limited installation height for the incorporation of a prosthesis. A trans-tibial amputation might be
considered in young and healthy patients because of the extensive possibilities for prosthetic fitting. The
final decision of the amputation level should be made by an experienced surgical and rehabilitation team
discussing the advantages and disadvantages with the patient involved. Currently, evidence from the
literature is too limited to guide this discussion and the decision-making process.