Above knee amputation 293 Below knee amputation 296 Lesser toe amputation 297Foot/ray amputations 297 Viva questions 300'Dead, dangerous or damn nuisance' (Apley). This essentially means that if a limb is not viable due to disease or trauma, a danger to the patient due to infection, crush injury or tumour, or nonfunctional as a result of a congenital abnormality or trauma and not amenable to other treatment modalities, then amputation should be considered.