Division of Technical Orthopaedics, Department of Orthopaedic Surgery, Balgrist University Hospital, Zurich, Switzerland; Universitätsklinik Balgrist, Forchstrasse 340, 8008 Zurich, Switzerland.
Foot Ankle Clin. 2022 Sep;27(3):687-700. doi: 10.1016/j.fcl.2022.05.004.
Several surgical options exist to avoid or at least to delay a below-the-knee amputation (BKA). These are the so-called mid- or hindfoot amputations. They are a valuable treatment option in order to maintain the ability to ambulate without major auxiliary means (eg, a prosthesis). Hence, these amputations allow the patients to maintain certain autonomy. The acceptance of these amputations is significantly higher than a BKA, as the body image is less disturbed. The complication rate in hindfoot amputations in diabetic patients is high due to the comorbidities, in particular peripheral arterial disease and polyneuropathy.
有几种手术选择可以避免或至少延迟膝下截肢（BKA）。这些是所谓的中足部或后足部截肢。为了保持无需主要辅助手段（例如假肢）行走的能力，这些截肢是一种有价值的治疗选择。因此，这些截肢可以使患者保持一定的自主性。与 BKA 相比，这些截肢的接受程度要高得多，因为身体形象受到的干扰较小。由于合并症，特别是外周动脉疾病和多发性神经病，糖尿病患者的后足部截肢的并发症发生率较高。
