A modified transmetatarsal amputation.
A modified transmetatarsal amputation.
复制标题
改良的经跖骨截肢术。
DOI：
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发表时间：
2011
影响因子：
1.3
通讯作者：
S. Tahara
中科院分区：
文献类型：
--
作者：
H. Terashi;I. Kitano;Y. Tsuji;K. Hashikawa;S. Tahara
糖尿病足的发病率在世界范围内不断增加。因为有证据表明，经跖骨截肢术与糖尿病足截肢术（有或无外周动脉疾病）的失败率较低相关，因此改善其管理和手术技术是外科医生的使命。然而，传统的经跖骨截肢术已经坚持了150多年。随着一个新的概念，经跖骨截肢的方法，旨在更好的结果，我们提出了一个修改的程序，以保留跖骨之间的软组织（血管系统复杂的肌肉，骨膜和血管），并将其应用于远端骨残端。本方法应用于11例糖尿病或外周动脉疾病或两者兼有的患者。所有伤口均成功闭合。11例患者中，8例仍存活，无并发症。在这8例患者中，6例能够穿着定制鞋行走，2例使用轮椅，与术前一样。死亡3例，1例自然死亡，1例死于败血症，1例死于脑梗死。我们相信，我们在这份报告中所描述的改良经跖骨截肢术是治疗前足坏疽患者的一个潜在突破，并可能随着时间的推移而被接受。
The incidence of the diabetic foot is increasing worldwide. Because evidence has shown that transmetatarsal amputation is associated with fewer failures in amputations of the diabetic foot with or without peripheral arterial disease, improving its management and surgical technique is a mission for the surgeon. Conventional transmetatarsal amputation has held firm, however, for more than 150 years. With a new concept for the transmetatarsal amputation method aimed at a better outcome, we propose a modified procedure for preserving the soft tissue between the metatarsal bones (the vasculature complex with the muscles, periostea, and vessels) and applying it to the distal bone stumps. The purpose of this method is to secure a functional foot by preserving the longitudinal arch. The new method was applied to 11 patients with diabetes mellitus or peripheral arterial disease, or both. All wounds closed successfully. Of the 11 patients, 8 were still alive with no complications. Of these 8 patients, 6 were able to ambulate with a custom-made shoe and 2 used a wheelchair, just as preoperatively. Of the 3 patients who died, 1 died a natural death, 1 died of sepsis, and 1 of cerebral infarction. We believe that the modified transmetatarsal amputation that we have described in this report is a potential breakthrough in the care of patients with forefoot gangrene and may gain acceptance over time.
治疗鞋：增强糖尿病和跖骨截肢患者的功能。
影响因子：
4.3
作者：
Mueller,MJ;Strube,MJ
通讯作者：
Strube,MJ