DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]
OPERATION: Above Knee Amputation (Transfemoral)
ANAESTHETIC: General / spinal anaesthesia
ANTIBIOTICS: IV antibiotics at induction
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine. Urinary catheter. [Tourniquet applied if indicated.]
INDICATION:
Unsalvageable lower limb — [non-reconstructable peripheral vascular disease / failed below-knee amputation with stump breakdown / extensive trauma / life-saving in extremis]. Level of bone transection planned 5-7 cm proximal to flap edges.