Give modified shoe or molded plastic socket or combination. After removal of portion of sustenaculuum tali, calcaneus is internally fixated into ankle mortise. Fit like syme. Syme Ankle disartic. Wagner give better result.
First stage protect the neurovascular bundle posterior to medial malleolus.
Give a prosthesis with suspension over malleoli from removable medial opening. Popliteal pulse presence guarantee healing of BK amputation. Advantage over aka is reduced perioperative mortality. Gonzalez said longer residual limbs have lower O2 requirement. Stand and walk up tp 2 hrs.