Gritti-Stokes amputation in atherosclerosis: a review of 237 cases.

or the tibia and fibula below; but in the region of the knee joint, where the bones are not so surrounded, they are forced into the subcutaneous tissues. Flaps fashioned from skin supplied by such enlarged collaterals can be expected to heal better than flaps not so nourished (Martin and Wickham, 1962). Mortality and morbidity have been low, and in addition a useful stump results. Others have advocated this operation (Jones, 1961; Middleton and Webster, 1962; Nayman, 1964; Lishman, 1965). The U-shaped incision begins at the adductor tubercle, passes downwards, and then across the mid part of the tibial tubercle. It then ascends on the outer aspect of the lower end of the femur to a point corresponding to the adductor tubercle on