Fallibility of doppler ankle pressure in predicting healing of transmetatarsal amputation
作者： Kautilya Mehta , Robert W. Hobson , Zafar Jamil , Lawrence Hart , Joseph A. O'Donnell
DOI: 10.1016/0022-4804(80)90111-0
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摘要: Abstract Sixty transmetatarsal amputations performed in 52 adult male patients for arterial insufficiency were studied to assess reliability of Doppler ankle systolic blood pressure (DABP) measurements predicting healing. DABP -60 mm Hg 51 (Group III). Forty-five (75%) the healed; 50% Group I, 80% II, and 76% III. healed was 115 ± 10 Hg, while nonhealed 96 11 these values not significantly ( P > 0.05) different. Healing occurred 5 with dependent rubor confined forefoot, 9 12 failed heal when present at a higher level. Five fifteen had cellulitis involving dorsum foot, only 3 45 similar clinical findings. should be used as an absolute guide predict healing amputation. Low does contraindicate amputation, guarantee success. Clinical assessment may reliably
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