Postoperative Dressing and Management Strategies for Transtibial Amputations: A Critical Review

作者: Douglas G. Smith , Lynne V. McFarland , Bruce J. Sangeorzan , Gayle E. Reiber , Joseph M. Czerniecki

DOI: 10.1097/00008526-200407001-00005

关键词:

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.

参考文章(51)
Bruce J. Sangeorzan, Charles Maynard, Gayle E. Reiber, Jennifer A. Mayfield, Joseph M. Czerniecki, Michael T. Caps, Trends in lower limb amputation in the Veterans Health Administration, 1989-1998 Journal of Rehabilitation Research and Development. ,vol. 37, pp. 23- 30 ,(2000)
DeMuth We, Nicholas Gg, Evaluation of use of the rigid dressing in amputation of the lower extremity. Surgery gynecology & obstetrics. ,vol. 143, pp. 398- 400 ,(1976)
Green Rf, Bonner Fj, Pneumatic Airleg prosthesis: report of 200 cases. Archives of Physical Medicine and Rehabilitation. ,vol. 63, pp. 383- ,(1982)
Pinzur Ms, Amputations and prosthetics. Chirurgia narzadów ruchu i ortopedia polska. ,vol. 64, pp. 571- 581 ,(1999)
M D Kerstein, Utilization of an air splint after below-knee amputation American journal of physical medicine. ,vol. 53, pp. 119- 126 ,(1974)
T K Scobie, N V McPhail, G G Barber, M C Brennan, C C Ellis, A prospective study of lower limb amputations. Canadian Journal of Surgery. ,vol. 26, pp. 339- 341 ,(1983)
Richard Warren, Roger V. Moseley, Immediate Postoperative Prostheses for Below the Knee Amputations A Preliminary Report American Journal of Surgery. ,vol. 116, pp. 429- 432 ,(1968) , 10.1016/0002-9610(68)90235-3
Y Wu, R D Keagy, H J Krick, J S Stratigos, H B Betts, An innovative removable rigid dressing technique for below-the-knee amputation. The Journal of Bone & Joint Surgery. ,vol. 61, pp. 724- 729 ,(1979) , 10.2106/00004623-197961050-00013
Gayle E. Reiber, Lynne V. McFarland, Epidemiology and Health Care Costs for Diabetic Foot Problems Humana Press. pp. 39- 50 ,(2006) , 10.1007/978-1-59745-075-1_2