Probst J
Unfallchirurg. 1989 Mar;92(3):155-8.
Maintenance therapy of the traumatized foot by partial amputation, in contrast to lower-leg amputation with subsequent artificial leg adjustment, should always be attempted if there is any possibility of shaping a stump that is independent of the prosthesis. As in former years, the disarticulation technique is performed; however, today the technique has been modified to obtain more functional results and to conserve tissue, which may mean that transosseous amputation is practicable. The quality of the soft-tissue flap and stability are the determining factors in the quality of the stump. These prerequisites mean that the operative technique must be adapted to the requirements of the patients; the soft tissue must be preserved and procedures used that will permit reconstructive procedures later.
与小腿截肢并随后安装假肢相比，对于创伤性足部，若有可能塑造一个不依赖假肢的残端，则应始终尝试通过部分截肢进行维持治疗。与前些年一样，采用关节离断技术；然而，如今该技术已得到改进，以获得更好的功能效果并保留组织，这可能意味着经骨截肢是可行的。软组织瓣的质量和稳定性是残端质量的决定因素。这些前提条件意味着手术技术必须适应患者的需求；必须保留软组织，并采用允许后期进行重建手术的操作方法。
