Müller S, Wenz W
Stiftung Orthopädische Universitätsklinik, Heidelberg, Deutschland.
Orthopade. 2009 Dec;38(12):1171-9. doi: 10.1007/s00132-009-1503-x.
The reconstruction of a diabetic foot is still a challenge for the orthopedic surgeon. Untreated fractures, dislocations and foot and ankle deformities with consequent ulcerations may increase the risk of limb amputation. For patients who refuse a major amputation a surgical reconstruction can be started using bone grafts, angle stable locking plates and ankle arthrodesis nails. The goal of reconstruction in all patients is to avoid amputation.
糖尿病足的重建对于整形外科医生来说仍然是一项挑战。未经治疗的骨折、脱位以及足部和踝关节畸形并由此导致的溃疡可能会增加肢体截肢的风险。对于拒绝接受大截肢手术的患者,可以开始采用骨移植、角度稳定锁定钢板和踝关节融合钉进行手术重建。所有患者重建的目标都是避免截肢。