Ward R S, Hayes-Lundy C, Schnebly W A, Saffle J R
Department of Burn Therapy, University of Utah Health Sciences Center, Salt Lake City.
J Burn Care Rehabil. 1990 Jul-Aug;11(4):361-4. doi: 10.1097/00004630-199007000-00018.
A review of 11 patients who sustained burns that were complicated by limb amputation was completed to determine their eventual ability to use prosthesis. Amputations included six below-elbow, four above-elbow, three below-knee, and three above-knee amputations. Ten of the 11 patients (91%) had open wounds on the stump limbs and nine patients (82%) required skin grafting procedures on the amputated limbs. Delays in prosthetic fitting because of continued surgeries, open wounds, skin grafts on the stump limb, and breakdown of the stump were identified. However, eight of these patients (73%) were eventually able to wear prosthetic devices. Fisher's exact test was used to test the influence of the number and site of the amputations and skin grafting on the stump on successful prosthesis use. None of these tested items were found to be significant. The results demonstrate that most patients with burns who require limb amputation can achieve successful prosthesis use.
对11例因烧伤并发肢体截肢的患者进行了回顾性研究，以确定他们最终使用假肢的能力。截肢包括6例肘下截肢、4例肘上截肢、3例膝下截肢和3例膝上截肢。11例患者中有10例（91%）残肢有开放性伤口，9例（82%）截肢肢体需要进行植皮手术。确定了由于持续手术、开放性伤口、残肢植皮和残肢破溃导致的假肢安装延迟。然而，这些患者中有8例（73%）最终能够佩戴假肢装置。采用Fisher精确检验来测试截肢的数量和部位以及残肢植皮对成功使用假肢的影响。未发现这些测试项目中有任何一项具有显著性。结果表明，大多数需要肢体截肢的烧伤患者能够成功使用假肢。
