Ivashkevich G A, Golovatskiĭ Ia B
Vestn Khir Im I I Grek. 1991 Apr;146(4):31-6.
Based on clinical observations of pyo-necrotic lesions of the foot in patients with diabetic mellitus and on an analysis of their personal operations performed on these patients the authors support the tendency to local necrotomies. Two original operations are proposed: ablation of the great toe with a preliminary transection of the tendon of the long flexor and radical operation of the deep phlegmon of the foot with the dissection of plantar aponeurosis and short flexors of the toes. These methods allow the general amount of amputations and lethality to be decreased.
基于对糖尿病患者足部脓性坏死病变的临床观察以及对这些患者所做的个人手术分析，作者支持局部坏死切除术的趋势。提出了两种原创手术：在长屈肌腱初步横断后切除大脚趾，以及通过切开跖腱膜和脚趾短屈肌对足部深部蜂窝织炎进行根治性手术。这些方法可减少截肢总量和死亡率。
