Clinical Study

Pirogow’s Amputation: A Modification of the Operation Method

Table 1

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


Congenital foot deformitySevere circulatory problems
Forefoot and metatarsal damage due to soft tissue or bone tumorsOpen lesions or traumatic damage in the area of the heel and calcaneus
Osteomyelitis Severe immune suppression, cachexy
Burns and frostbiteAcute and chronic infections of the ankle and hindfoot
Persistent ulcerating soft tissue defects stemming from cardiovascular diseasesLow prospects regarding the expected walking ability
Forefoot and metatarsal damage through traumaHaemodynamically relevant stenosis or closure of the anterior tibialis