Clemens Mark W, Attinger Chris E
Department of Plastic Surgery, Georgetown University Medical Center, Washington, D.C. USA.
Surg Technol Int. 2008;17:89-95.
The steps to achieving a healthy healing wound include a correct diagnosis, ensuring a good local blood supply, debriding the wound to reveal a clean base, correcting the biomechanical abnormality, and nurturing the wound until it shows signs of healing. Debridement should be performed as often as necessary until the wound is deemed clean and ready for reconstruction. The repair is then dictated by how much of the foot remains post-debridement and how the foot can be closed in the most biomechanically stable construct possible. The subsequent reconstruction can then usually be accomplished by simple techniques most of the time, and with complex flap reconstruction in about 10% of cases. Wound healing adjuncts such as growth factor, cultured skin, and hyperbaric oxygen can be helpful adjuncts.
实现伤口健康愈合的步骤包括正确诊断、确保良好的局部血液供应、清创伤口以露出清洁的基底、纠正生物力学异常以及护理伤口直至其显示出愈合迹象。应根据需要尽可能频繁地进行清创，直到伤口被认为清洁且准备好进行重建。然后，修复方式取决于清创后足部剩余的部分以及如何以最生物力学稳定的结构闭合足部。随后的重建通常在大多数情况下可通过简单技术完成，约10%的病例需要复杂的皮瓣重建。伤口愈合辅助手段，如生长因子、培养皮肤和高压氧，可能是有用的辅助方法。
