Amputation in the diabetic to maximize function.
作者： Benjamin J. Brown , Charlie G. Crone , Christopher E. Attinger
DOI: 10.1053/J.SEMVASCSURG.2012.04.003
关键词: Lower extremity amputation 、 Residual limb 、 Medicine 、 Muscle tone 、 Physical therapy 、 Biomechanics 、 Amputation
摘要: For the patient facing a major lower extremity amputation, surgeon's goal should be to salvage residual limb with maximum amount of function. This requires coordinating length available prosthetics and tenodesing muscle optimize joint motion maintain tone. article explains systematic approach amputation. We believe outcomes can improved through careful preoperative evaluation optimization biomechanics, blood flow, infection. Thoughtful planning creative use remaining viable tissue give most amputees highly functional extremity.
sci-hub.se 参考文章(31)
M S Pinzur, D G Smith, D J Daluga, H Osterman, Selection of patients for through-the-knee amputation. Journal of Bone and Joint Surgery, American Volume. ,vol. 70, pp. 746- 750 ,(1988) , 10.2106/00004623-198870050-00016
M.A. da Silva Buzato, E.C. Tribulatto, S.M. Costa, W.G.W. Zorn, B. van Bellen, Major Amputations of the Lower Leg. The patients two years later Acta Chirurgica Belgica. ,vol. 102, pp. 248- 252 ,(2002) , 10.1080/00015458.2002.11679306
Michael S Pinzur, Julia Gold, Nicholas Gross, David Schwartz, Energy demands for walking in dysvascular amputees as related to the level of amputation. Orthopedics. ,vol. 15, pp. 1033- 1037 ,(1992) , 10.3928/0147-7447-19920901-07
RL Waters, J Perry, D Antonelli, H Hislop, Energy cost of walking of amputees: the influence of level of amputation Journal of Bone and Joint Surgery, American Volume. ,vol. 58, pp. 42- 46 ,(1976) , 10.2106/00004623-197658010-00007
MICHAEL S. PINZUR, RODNEY M. STUCK, RONALD SAGE, NATHAN HUNT, ZINOVIY RABINOVICH, Syme ankle disarticulation in patients with diabetes. Journal of Bone and Joint Surgery, American Volume. ,vol. 85, pp. 1667- 1672 ,(2003) , 10.2106/00004623-200309000-00003
Paul V Tisi, Mary M Than, Type of incision for below knee amputation Cochrane Database of Systematic Reviews. ,vol. 2014, ,(2014) , 10.1002/14651858.CD003749.PUB3
Noel Nellis, Joseph M Van De Water, Through-the-knee amputation: an improved technique. American Surgeon. ,vol. 68, pp. 466- 469 ,(2002)
Jowan G. Penn-Barwell, Outcomes in lower limb amputation following trauma: A systematic review and meta-analysis Injury. ,vol. 42, pp. 1474- 1479 ,(2011) , 10.1016/J.INJURY.2011.07.005
G.I. Taylor, J.H. Palmer, The vascular territories (angiosomes) of the body: experimental study and clinical applications British Journal of Plastic Surgery. ,vol. 40, pp. 113- 141 ,(1987) , 10.1016/0007-1226(87)90185-8
Christopher E. Attinger, Jeffrey E. Janis, John Steinberg, Jaime Schwartz, Ali Al-Attar, Kara Couch, Clinical approach to wounds: débridement and wound bed preparation including the use of dressings and wound-healing adjuvants. Plastic and Reconstructive Surgery. ,vol. 117, ,(2006) , 10.1097/01.PRS.0000225470.42514.8F