Pirogow’s Amputation: A Modification of the Operation Method

Table 1

Indications and contraindications for an amputation following the Pirogow method [6, 7].

Indications	Contraindications
Congenital foot deformity	Severe circulatory problems
Forefoot and metatarsal damage due to soft tissue or bone tumors	Open lesions or traumatic damage in the area of the heel and calcaneus
Osteomyelitis	Severe immune suppression, cachexy
Burns and frostbite	Acute and chronic infections of the ankle and hindfoot
Persistent ulcerating soft tissue defects stemming from cardiovascular diseases	Low prospects regarding the expected walking ability
Forefoot and metatarsal damage through trauma	Haemodynamically relevant stenosis or closure of the anterior tibialis