Greteman B, Dale S
Department of Podiatric Surgery, Veterans Administration Medical Center, Montain Home, TN.
J Am Podiatr Med Assoc. 1990 Mar;80(3):120-6. doi: 10.7547/87507315-80-3-120.
A retrospective study was performed on 26 patients who had undergone 27 digital amputations. All of the patients in the study had marked neuropathy. Sixty-five percent of the feet developed new ulcerations following initial hallux amputations, with 53% of the ulcerations occurring at distal digital sites. Fifty-three percent of the patients who had undergone hallux amputations required further amputations secondary to new ulcerations. In contrast, only 10% of the feet with initial lesser digit amputations developed new ulcerations. The authors discuss the biomechanics involved and the possible therapy for preventing these ulcerations and amputations.
对26例接受了27次手指截肢手术的患者进行了一项回顾性研究。研究中的所有患者均有明显的神经病变。65%的足部在初次拇趾截肢后出现了新的溃疡，其中53%的溃疡发生在手指远端部位。接受拇趾截肢手术的患者中有53%因新溃疡而需要进一步截肢。相比之下，初次小趾截肢的足部只有10%出现了新溃疡。作者讨论了其中涉及的生物力学以及预防这些溃疡和截肢的可能疗法。
