Brückner L
Klinik für Orthopädie, Universität Leipzig, Germany.
Prosthet Orthot Int. 1992 Dec;16(3):157-62. doi: 10.3109/03093649209164334.
The histo- and biochemical parameters of leg muscles from patients with chronic occlusive arterial disease were examined. The outcome of these tests indicated that it is not possible visually to determine the amputation level accurately at the time of surgery. These test results therefore encouraged the authors to develop a standardised surgical procedure for trans-tibial amputations. With this standardised technique specific musculature is resected to assure that no pathological tissues remain. This surgical prophylaxis is meant to prevent the development of gas gangrene and thus to obtain primary healing. Eighty-six trans-tibial amputations were performed and in 93% of these the knee joint was preserved.
对慢性闭塞性动脉疾病患者腿部肌肉的组织学和生化参数进行了检查。这些测试结果表明，在手术时通过肉眼无法准确确定截肢水平。因此，这些测试结果促使作者开发一种标准化的经胫骨截肢手术程序。采用这种标准化技术切除特定的肌肉组织，以确保不留任何病理组织。这种手术预防措施旨在防止气性坏疽的发生，从而实现一期愈合。共进行了86例经胫骨截肢手术，其中93%保留了膝关节。
