Majeski James
Am Surg. 2004 Mar;70(3):265-7.
The upper leg can be amputated at many levels starting with the through the knee amputation and ending with the hip disarticulation. The most common above the knee amputation is through the mid-femur, and this procedure is taught in most surgical programs in the United States. A new modification of the supracondylar amputation of the femur is herein described. A 20-year experience of over 200 procedures is reported using a new modification of the supracondylar amputation of the leg. Two deaths occurred, and a primary healing rate of 95 per cent was obtained. Revision to a higher level was required in only three patients. The advantages of the modified amputation procedure include short operative procedure, minimal blood loss, long femur stump, reduced pain, strong fascial closure, high rate of primary healing, and avoidance of a postoperative flexion contracture at the hip.
大腿截肢可以在多个平面进行，从经膝关节截肢开始，到髋关节离断结束。最常见的大腿以上截肢是经股骨中段，美国大多数外科手术项目都会教授这个手术。本文描述了一种股骨髁上截肢的新改良方法。报告了采用这种新改良的小腿髁上截肢方法进行200多例手术的20年经验。发生了两例死亡，一期愈合率为95%。仅3例患者需要进行更高平面的翻修手术。改良截肢手术的优点包括手术操作时间短、失血少、股骨残端长、疼痛减轻、筋膜闭合牢固、一期愈合率高以及避免术后髋关节屈曲挛缩。
