Johnson M K, Rybczynski J, Kanat I O
J Foot Surg. 1987 Mar-Apr;26(2):141-8.
Digital amputation for infection in the diabetic patient requires accurate assessment of wound healing potential as a function of clinical and noninvasive studies of cutaneous blood flow. The diabetic propensity for staphylococcal infection, microangiopathy, and delayed wound healing may be questionable in light of recent literature. X-rays, xeroradiographs, and bone scans are useful guides to osseous infection involvement. Amputation technical planning is mandatory. Proper assessment results in a dynamic functional amputation stump with little impact on gait.
糖尿病患者因感染进行的数字截肢需要根据皮肤血流的临床和非侵入性研究准确评估伤口愈合潜力。鉴于最近的文献，糖尿病患者对葡萄球菌感染、微血管病变和伤口愈合延迟的易感性可能存在疑问。X线、干板X线片和骨扫描是骨感染累及情况的有用指导。截肢技术规划是必需的。正确的评估可形成动态功能性截肢残端，对步态影响很小。
