Yoho Robert M, Wilson Paul K, Gerres Jennifer A, Freschi Scot
College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA 50312, USA.
J Foot Ankle Surg. 2008 Jul-Aug;47(4):326-31. doi: 10.1053/j.jfas.2008.04.007.
The purpose of this case study was to review the 10-year outcome of a patient with a history of diabetes, pedal osteomyelitis, and peripheral vascular disease, who underwent a Chopart's amputation of the right foot. Key evaluative elements to consider for long-term success of any amputation include the vascular status of the foot, control of infection, adequate soft tissue coverage, biomechanics associated with amputation, the metabolic challenge of amputation, and the psychosocial consequences linked to loss of a limb. The results of the case study show that Chopart's amputation is an excellent limb salvage surgical option that can achieve beneficial long-term outcomes in properly selected patients.
本病例研究的目的是回顾一名有糖尿病、足部骨髓炎和外周血管疾病病史的患者,其接受了右足Chopart截肢术后10年的结果。任何截肢手术长期成功需要考虑的关键评估要素包括足部的血管状况、感染控制、足够的软组织覆盖、与截肢相关的生物力学、截肢带来的代谢挑战以及与肢体缺失相关的心理社会后果。该病例研究结果表明,Chopart截肢术是一种出色的肢体挽救手术选择,在适当选择的患者中可取得有益的长期效果。