Mooney V, Wagner F W
Clin Orthop Relat Res. 1977 Jan-Feb(122):53-61.
There is a simple rationale for care of the dysvascular neuropathic foot. Either prevention or correction of deformities, or both, is of primary importance in the insensitive or poorly healing foot. Control of edema is necessary to achieve maximum healing potential. There are tools at hand to allow the orthopedic surgeon to judge arterial supply in addition to his clinical judgment. Interest in defensive footwear, appreciation of interface forces, and the application of standard operative techniques to this ever-present population can result in significant improvement in patient care.
对于血管性神经病变足的护理有一个简单的基本原理。在感觉迟钝或愈合不良的足部，预防或矫正畸形，或两者兼而有之，是至关重要的。控制水肿对于实现最大愈合潜力是必要的。除了临床判断外，还有一些工具可供骨科医生用来评估动脉供应情况。对防护性鞋具的关注、对界面力的认识以及将标准手术技术应用于这一常见人群，可显著改善患者护理。
