Matamoros R, Riepe G, Drees P
Zentrum für Gefäßmedizin und Wundbehandlung, Stiftungsklinikum Mittelrhein, Koblenz, Deutschland.
Chirurg. 2012 Nov;83(11):999-1012. doi: 10.1007/s00104-011-2189-2.
The definitive aim of a minor amputation is limited resection with retention of feet and legs resulting in a completely loadable extremity, in contrast to the lower leg stump. A shift in the amputation level in the sense of a shortening is inevitably accompanied by a reduction in the stand area, an increase in axial pressure and a disruption of muscle equilibrium in the extent of movement of the rest of the foot. This knowledge forms the central issue for further treatment of minor amputations in addition to the subtle treatment of the skin of the sole for coverage of a tension-free tip of the stump. Advantageous are longitudinal partial amputations of the forefoot and midfoot.
与小腿残端相比,小截肢的最终目标是进行有限切除,保留足和腿,从而形成一个完全可负重的肢体。从缩短的角度来看,截肢平面的改变不可避免地伴随着站立面积的减小、轴向压力的增加以及残足其余部分运动范围内肌肉平衡的破坏。除了对足底皮肤进行精细处理以覆盖无张力的残端末端外,这一认识构成了小截肢进一步治疗的核心问题。前足和中足的纵向部分截肢是有利的。