Vascular Disease

Vascular amputations reflect upper-extremity ischaemia occurring in elderly or multimorbid patients. Vascular complications were the second leading cause of distal revisions, accounting for 28.5% of cases. Vascular disease accounted for 23.7% of above-wrist amputations in 2023, with a minor increase from 2019. Proximal hand amputations were most often vascular in origin. Vascular and ischaemic distal amputations were associated with gangrene, critical limb ischaemia, diabetic vascular complications, thrombosis and Raynaud-associated ischaemia. Forearm amputations were most often vascular in origin.