# The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review

## TL;DR

This paper reviews the Gritti–Stokes amputation technique, assessing its reliability and effectiveness in modern surgical practice.

## Contribution

The paper provides a narrative review of the Gritti–Stokes amputation's benefits, limitations, and relevance in the 21st century.

## Key findings

- Gritti–Stokes amputation shows positive outcomes in wound healing and reduced mortality.
- The technique requires highly trained surgeons and has limitations in prosthesis fitting.
- It is underutilized despite potential benefits in certain cases.

## Abstract

Lower limb amputation is a common surgical procedure performed worldwide. Many individuals require amputation due to various circumstances, with amputations occurring above or below the knee. Surgeons rely on published research to determine the most appropriate technique based on intraoperative and postoperative outcomes. The Gritti–Stokes amputation (GSA) procedure, introduced in 1857, has shown positive results in terms of primary wound healing, reduced mortality rates during and after surgery, and accelerated healing and mobility. However, due to the need for highly trained surgeons and limitations in functional and cosmetic prosthesis fitting, concerns have been raised regarding its utility. Additionally, the procedure is underutilized in cases where it could potentially yield better results. This article provides a comprehensive review of the documented benefits of GSA, suitable candidate selection, limitations, various modifications, and a comparison with traditional approaches to lower limb amputation. The review is focused on evidence published in the last 100 years.