Early J S
Department of Orthopedic Surgery, University of Texas Southwestern Medical School at Dallas 75235-8883, USA.
Clin Orthop Relat Res. 1999 Apr(361):85-90. doi: 10.1097/00003086-199904000-00012.
The objective of lower extremity amputation surgery is to create a viable, functional residual limb to maximize patient mobility and independence. When part or all of the forefoot is lost to trauma, infection or gangrene, and the hindfoot is viable, every attempt should be made to preserve as much foot function as possible. The use of the transmetatarsal level is common. In the past, amputations through the Lisfranc and Chopart's joint lines involved significant complication rates. With improvements in patient selection and surgical technique, these two amputation levels are viable options to consider when attempting salvage of the hindfoot structures.
下肢截肢手术的目的是创建一个有活力、功能良好的残肢，以最大限度地提高患者的活动能力和独立性。当部分或全部前足因创伤、感染或坏疽而丧失，而后足仍有活力时，应尽一切努力尽可能保留足部功能。经跖骨平面截肢的应用较为常见。过去，通过Lisfranc和Chopart关节线进行的截肢手术并发症发生率较高。随着患者选择和手术技术的改进，在尝试挽救后足结构时，这两个截肢平面是可以考虑的可行选择。
