Long-term results of through-knee amputation with dorsal musculocutaneous flap in patients with end-stage arterial occlusive disease
Long-term results of through-knee amputation with dorsal musculocutaneous flap in patients with end-stage arterial occlusive disease
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DOI：
10.1007/s00268-004-7311-x
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发表时间：
2004-08-01
影响因子：
2.6
通讯作者：
Gumppenberg, S
中科院分区：
文献类型：
--
作者：
Kock, HJ;Friederichs, J;Gumppenberg, S
1985年首次报道了一种使用腓肠肌背侧肌皮瓣进行膝关节离断的改良技术。本文报告了66例（女33例，男33例;年龄42-93岁，平均66.7 ± 11.3岁）周围血管性坏疽患者的手术结果。平均生存期为35.2个月（0-116个月），88%（n=58）的患者死于心肺原因。住院48天死亡率为9%。9名患者（14%）在膝上水平进行了再截肢，5名患者进行了软组织手术翻修。出院后，60名患者中有35名（58%）能够在假肢的帮助下行走。我们的结论是，膝关节离断与腓肠肌肌皮瓣的使用是一个安全的，功能上可以接受的手术方法，在高风险的血管病人。
A modified technique of knee joint disarticulation using a dorsal musculocutaneous flap of the gastrocnemius muscle was first described in 1985. The operative results in 66 patients (33 women, 33 men; mean age 66.7+/-11.3 years, range 42-93 years) with gangrene due to peripheral vascular disease with 69 knee disarticulations are reported. After a mean survival period of 35.2 months (0-116 months), 88% (n=58) of the patients had died owing to cardiopulmonary reasons. The in-hospital 48-day mortality was 9%. Nine patients (14%) underwent reamputation at the above-knee level, and five patients underwent operative revision of the soft tissue. After discharge from the hospital, 35 of 60 patients (58%) were able to walk with the aid of a prosthesis. We conclude that knee disarticulation with the use of a myocutaneous gastrocnemius flap is a safe, functionally acceptable operative method in high risk vascular patients.