Minor amputations on the feet after revascularization for gangrene. A consecutive series of 95 limbs.
Minor amputations on the feet after revascularization for gangrene. A consecutive series of 95 limbs.
复制标题
坏疽血运重建后足部小截肢。
DOI：
10.3109/17453679708996704
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发表时间：
1997
期刊：
影响因子：
--
通讯作者：
P. Holstein
中科院分区：
文献类型：
--
作者：
Søren B. Albrektsen;B. Henriksen;P. Holstein
本文对89例（95条肢体）坏疽患者行动脉重建后足趾或部分远端截肢手术。43例患者患有糖尿病。当重建打开时，在81/82英尺处实现愈合。当重建失败时，4/5的肢体需要在膝盖以下或以上截肢。8例未愈合死亡。单次截肢后中位愈合时间为30（17-452）天，多次截肢后中位愈合时间为115（36-466）天。我们的结论是，对于糖尿病患者和动脉硬化患者来说，因坏疽而截肢的脚通常在动脉重建后愈合。术后早期不负重和控制感染是重要的。
A consecutive series of 89 patients (95 limbs) with gangrene were operated on with amputation of toes or some distal part of the foot after arterial reconstruction. 43 patients had diabetes. Healing was achieved in 81/82 feet when the reconstruction was open. Amputation below or above the knee was required in 4/5 limbs when the reconstruction failed. 8 patients died before healing. The median time to healing was 30 (17-452) days, after a single amputation, and 115 (36-466) days, when more than one procedure had been necessary. We concluded that amputations on the feet for gangrene usually heal after arterial reconstruction, in patients with diabetes as well as in those with arteriosclerosis. No weight bearing and control of infection are important during the early postoperative period.