Greitemann B
Rehabilitationsklinikum Bad Rothenfelde, Klinik Münsterland, Klinik für orthopädisch-traumatologische Erkrankungen, Bad Rothenfelde.
Vasa. 2009 Feb;38 Suppl 74:37-53. doi: 10.1024/0301-1526.38.S74.37.
The main causes for amputations on the lower extremities are dysvascular disease and/or diabetes mellitus. Especially in diabetics tissue preserving surgical techniques should be performed. Due to multimorbidity and high risk of an amputation on the other extremity, the so called "major amputations" ("transtibial" or "transfemoral") should be reduced. Especially in diabetics tissue preserving amputations on the foot or resection techniques on the foot are of importance to prevent major disabilities or handicaps on the patients. For this the surgeon has to have knowledge on all amputation levels on the foot as well as knowledge about prosthetic fitting or shoe techniques. With this a high percentage of good results will prevent the patient from major amputations.
下肢截肢的主要原因是血管疾病和/或糖尿病。特别是对于糖尿病患者,应采用保留组织的手术技术。由于存在多种疾病以及另一侧肢体截肢风险高,应减少所谓的“大截肢”(“经胫骨截肢”或“经股骨截肢”)。特别是对于糖尿病患者,足部保留组织截肢或足部切除技术对于防止患者出现严重残疾至关重要。为此,外科医生必须了解足部所有截肢平面的知识以及假肢装配或制鞋技术的知识。这样,高比例的良好结果将使患者避免大截肢。