Tillo T H, Giurini J M, Habershaw G M, Chrzan J S, Rowbotham J L
Department of Surgery, Harvard Medical School, Boston, MA.
J Am Podiatr Med Assoc. 1990 Apr;80(4):211-7. doi: 10.7547/87507315-80-4-211.
The records of 52 patients who underwent metatarsal osteotomies for the treatment of chronic neuropathic ulcerations between the years 1983 and 1985 were analyzed in a retrospective study. Long-term follow-up information was available for all but three patients. All patients were conservatively managed preoperatively and postoperatively with shoes, accommodative orthoses, and local care. A limb salvage rate of 94%, 46 of 49 patients, was achieved in this study. Although 13 patients developed transfer ulcerations, all but one were managed either with conservative care or a lesser podiatric procedure, and all remain healed to date.
对1983年至1985年间因治疗慢性神经性溃疡而接受跖骨截骨术的52例患者的记录进行了一项回顾性研究分析。除3例患者外，其他所有患者均有长期随访信息。所有患者在术前和术后均采用鞋子、适应性矫形器及局部护理等保守治疗。本研究实现了94%的肢体挽救率，即49例患者中的46例。尽管有13例患者出现转移性溃疡，但除1例外，其他患者均通过保守治疗或较小的足病治疗手段得到处理，且至今所有患者的溃疡均已愈合。
