作者: Douglas G. Smith , Lynne V. McFarland , Bruce J. Sangeorzan , Gayle E. Reiber , Joseph M. Czerniecki
DOI: 10.1097/00008526-200407001-00005
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摘要: Postamputation management is an important determinant of recovery from amputation. However, consensus on the most effective postoperative strategies for individuals undergoing transtibial amputation (TTA) lacking. Dressings can include simple soft gauze dressings, thigh-high rigid cast shorter removable and prefabricated pneumatic dressings. Postoperative prosthetic attachments be added to all but These dressings address need cleanly cover a fresh surgical wound, not are designed facilitate strategic goals preventing knee contractures, reducing edema, protecting external trauma, or facilitating early weight bearing. The type dressing strategy often overlap certainly interrelated. Current protocols decisions based local practice, skill, intuition. current available literature challenging, difficulties variations in healing potential, comorbidity, surgical-level selection, techniques experience with strategies, poorly defined outcome criteria. This paper reviews published compares measures safety, efficacy, clinical outcomes various techniques. Analysis 10 controlled studies supported only 4 14 claims cited uncontrolled, descriptive studies.