PMID- 38524678 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240326 IS - 2042-8812 (Print) IS - 2042-8812 (Electronic) IS - 2042-8812 (Linking) VI - 2024 IP - 3 DP - 2024 Mar TI - Pirogoff amputation is a viable option to maintain ambulation in chronic limb-threatening ischemia with extensive midfoot tissue loss: a report of two cases. PG - rjae180 LID - 10.1093/jscr/rjae180 [doi] LID - rjae180 AB - Eliminating necrotic and infected tissues is crucial for limb salvage in patients with chronic limb-threatening ischemia (CLTI). However, extensive lesions that involve the midfoot frequently result in transtibial amputation, restricting ambulation and independent life. The Modified Pirogoff amputation, which includes a 90 degrees rotation of the calcaneus and fixation with the tibia, has good functional outcomes in trauma cases. Here, we report two patients with CLTI successfully managed by a combination of revascularization and modified Pirogoff amputation, resulting in preserved ambulation without a prosthesis. Modified Pirogoff amputation may be a good alternative in revascularized CLTI with extensive tissue loss of the midfoot. CI - Published by Oxford University Press and JSCR Publishing Ltd. (c) The Author(s) 2024. FAU - Sano, Masaya AU - Sano M AUID- ORCID: 0000-0002-0704-7042 AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Morii, Hokuto AU - Morii H AD - Department of Emergency and Critical Care Medicine, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Endo, Takashi AU - Endo T AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Kimura, Masaru AU - Kimura M AUID- ORCID: 0000-0003-3486-2058 AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Yamamoto, Satoshi AU - Yamamoto S AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Hashimoto, Takuya AU - Hashimoto T AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. FAU - Deguchi, Juno AU - Deguchi J AD - Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama 350-0844, Japan. LA - eng PT - Case Reports DEP - 20240321 PL - England TA - J Surg Case Rep JT - Journal of surgical case reports JID - 101560169 PMC - PMC10958607 OTO - NOTNLM OT - CLTI OT - Pirogoff amputation OT - diabetic foot COIS- There is no conflict of interest to declare. EDAT- 2024/03/25 06:44 MHDA- 2024/03/25 06:45 PMCR- 2024/03/21 CRDT- 2024/03/25 04:29 PHST- 2024/01/28 00:00 [received] PHST- 2024/03/01 00:00 [accepted] PHST- 2024/03/25 06:45 [medline] PHST- 2024/03/25 06:44 [pubmed] PHST- 2024/03/25 04:29 [entrez] PHST- 2024/03/21 00:00 [pmc-release] AID - rjae180 [pii] AID - 10.1093/jscr/rjae180 [doi] PST - epublish SO - J Surg Case Rep. 2024 Mar 21;2024(3):rjae180. doi: 10.1093/jscr/rjae180. eCollection 2024 Mar.