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above-knee amputation ALAC alignment amputation stump ankle joint anteriorly artery artificial limb attached bandage below-knee amputation bone end bone section calcaneum centre congenital corset deformity device digits disarticulation disease dissection distal divided end-bearing excision extension Extensor femoral femur fibula fitting flexed flexion flexor foot forearm function gangrene give hand healing heel hip joint humerus ischaemic ischial tuberosity knee joint lateral level of amputation lever ligament ligated lock lower limb mechanism medial metatarsal movement muscles nerve normal oedema operating cord osteosarcoma pain patellar tendon patient pelvic periosteum possible posterior flap postoperative pressure problems procedure prosthesis prosthetist proximal rehabilitation Roehampton rotation rubber shoulder side steels skin flaps skin incision socket soft tissues stability stance phase strap stump surgeon surgical suspension sutured swing phase Syme's amputation technique thigh tibia tion tourniquet trauma tumour ulnar United Kingdom upper limb usually vascular vessels walking weight-bearing wound wrist