Assistant Professor, Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.
Resident, Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital, Washington, DC.
J Foot Ankle Surg. 2020 Jul-Aug;59(4):869-872. doi: 10.1053/j.jfas.2019.10.009.
The staged approach to below knee amputation has proven to be an effective method of achieving functionality after amputation and reducing risk for postamputation complications. Transtibial or "guillotine" amputations are often used as the first-stage amputation. Disarticulation at the ankle joint is an alternative method that can be used with favorable results and benefits. These include rapid infection decompression while minimizing the blood loss of traditional tibial osteotomy. Here we describe our operative technique, perioperative management, and indications for this surgical procedure.
分阶段的膝下截肢方法已被证明是一种有效的方法，可以在截肢后实现功能，并降低截肢后并发症的风险。经胫骨或“断头台”截肢通常用作第一阶段截肢。踝关节离断术是一种替代方法，也可以取得良好的效果和益处。这些益处包括在尽量减少传统胫骨截骨术失血的同时快速减压感染。在此，我们介绍这种手术的操作技术、围手术期管理和适应证。
