Pinzur M S, Littooy F, Osterman H, Schwartz D
Department of Orthopedics & Rehabilitation, Loyola University Stritch School of Medicine, Maywood, Ill.
Orthopedics. 1989 Oct;12(10):1343-5. doi: 10.3928/0147-7447-19891001-10.
Thirty-eight below-knee amputees were treated with a commercially available pneumatic prosthetic limb system, applied immediately postoperatively, that would allow immediate weight bearing following lower extremity amputation. Thirty-four limbs were amputated for peripheral vascular insufficiency and four were amputated due to trauma. Weight bearing was initiated an average of 4.7 days following surgery and patients were discharged with a non-removable temporary prosthesis at an average of 8.9 days. Thirty-three healed and were uneventfully fit with standard below-knee prosthetic limbs. Three required revision to the above-knee level. In a controlled setting, early weight bearing in the peripheral vascular insufficiency patient can be initiated with a low risk of local wound complication.
38名膝下截肢患者接受了一种市售的气动假肢系统治疗，该系统在术后立即应用，可使下肢截肢后立即负重。34例因周围血管功能不全而截肢，4例因创伤而截肢。平均术后4.7天开始负重，患者平均8.9天佩戴不可拆卸的临时假肢出院。33例愈合良好，顺利安装标准膝下假肢。3例需要将截肢部位改为膝上水平。在可控环境下，周围血管功能不全患者早期负重引发局部伤口并发症的风险较低。
