Ewing Amputation (EA) is a new surgery technique for veterans with Peripheral Artery Disease (PAD), which is a condition where arteries in the legs are narrowed, affecting blood flow. This study focuses on veterans at AVAHCS who need a below-knee amputation (BKA). The goal is to see if EA can improve recovery by reducing pain and improving balance and wound healing. EA helps by creating a special muscle connection called the Agonist-Antagonist Myoneural Interface (AMI) and Regenerative Peripheral Neural Interfaces (RPNI) to manage pain better.

Veterans participating in this study will be followed for 6 months after surgery to track their progress. The study aims to include 30 veterans and have at least 70% complete follow-up.

• Study lasts for 2 years with follow-up for 6 months.
• Includes veterans who can heal well and plan to walk again.
• Study excludes those with severe infections or poor healing ability.