Kirk Kevin L, Jones Evan M, Potter Benjamin Kyle, Osborn Patrick M, Ficke James R
Department of Orthopedics and Rehabilitation, Orthopedic Surgery Service, 3851 Roger Brooke Drive, Fort Sam Houston, TX 78234, USA.
J Surg Orthop Adv. 2011 Spring;20(1):19-22.
Throughout the current conflicts in Afghanistan and Iraq, there have been more than 1100 combat-related major limb amputations, with approximately 80% involving the lower extremity. There is, however, a paucity of data regarding the number of amputations below the level of the ankle. Although not as common, partial foot amputations, in the appropriate setting, offer a way to improve function and decrease energy consumption when compared to proximal amputations. Sound surgical tenets are prerequisite for successful outcomes when performing a distal amputation. Maintaining a robust soft tissue envelope allowing for tension-free wound closure is paramount in determining the feasibility of a partial foot amputation. Careful consideration of tendon balancing is also of utmost importance in avoiding common complications of contracture and deformity. Partial foot amputations present a viable surgical option for successful outcomes and maximization of patient function in the combat injured when certain criteria are met.
在当前阿富汗和伊拉克的冲突中，与战斗相关的主要肢体截肢超过1100例，其中约80%涉及下肢。然而，关于踝关节以下截肢数量的数据却很匮乏。虽然部分足部截肢不如上述情况常见，但在适当的情况下，与近端截肢相比，它能提供一种改善功能和降低能量消耗的方法。合理的手术原则是进行远端截肢获得成功结果的先决条件。保持强健的软组织包膜以实现无张力伤口闭合，对于确定部分足部截肢的可行性至关重要。仔细考虑肌腱平衡对于避免挛缩和畸形等常见并发症也极为重要。当满足某些标准时，部分足部截肢为战斗伤员成功康复并最大限度恢复患者功能提供了一种可行的手术选择。
