Birke J A, Patout C A, Foto J G
Louisiana State University Medical Center, Diabetes Foot Program, Baton Rouge 70806, USA.
J Orthop Sports Phys Ther. 2000 Feb;30(2):91-7. doi: 10.2519/jospt.2000.30.2.91.
The purpose of this paper is to review selected literature on the relationship of neuropathy and other related factors in foot ulceration and lower extremity amputation. There is strong evidence that sensory loss and mechanical stress are the primary cause of foot ulceration and common factors in the pathway to lower extremity amputation. Foot stress results from extrinsic factors such as footwear and intrinsic factors such as deformity and limited joint mobility. Understanding the interplay of these factors is valuable in identifying persons whose feet are at risk, effectively preventing and treating foot ulcerations and ultimately preventing lower extremity amputation.
本文旨在综述关于神经病变及其他相关因素与足部溃疡和下肢截肢之间关系的部分文献。有充分证据表明，感觉丧失和机械性压力是足部溃疡的主要成因，也是下肢截肢过程中的常见因素。足部压力源于外在因素，如鞋类，以及内在因素，如畸形和关节活动受限。了解这些因素之间的相互作用，对于识别足部有风险的人群、有效预防和治疗足部溃疡以及最终预防下肢截肢具有重要价值。
