Bowker J H
Instr Course Lect. 1990;39:355-60.
Certain factors regarding amputation level, such as the level of traumatic amputation, the position of a malignant tumor in a limb, or the level to which gangrene has progressed, cannot be changed. More important, in this regard, is the attitude of the surgeon toward amputation. This attitude determines the care with which the final level is selected, the manner in which the amputation is performed, and the way in which postoperative management, including prosthetic care, is handled. To achieve the desired long-term result for the amputee, the surgeon should view amputation as a reconstructive procedure rather than a destructive one, should be willing to do staged procedures to preserve potentially functional tissue, should be ready to consider and plan innovative surgical approaches, and should keep abreast of prosthetic advances as they affect surgical technique and postoperative management.
某些与截肢平面相关的因素，如创伤性截肢的平面、肢体恶性肿瘤的位置或坏疽进展的程度，是无法改变的。在这方面，更重要的是外科医生对截肢的态度。这种态度决定了选择最终截肢平面时的谨慎程度、进行截肢手术的方式以及包括假肢护理在内的术后管理方式。为了给截肢者带来理想的长期效果，外科医生应将截肢视为一种重建手术而非破坏性手术，应愿意进行分期手术以保留可能具有功能的组织，应准备好考虑并规划创新的手术方法，并且应跟上假肢技术的进步，因为这些进步会影响手术技术和术后管理。
