Lawton R L, De Pinto V
Arch Surg. 1987 Sep;122(9):1040-3. doi: 10.1001/archsurg.1987.01400210078011.
A small percentage of paraplegic patients develop chronic decubitus ulcers that are unresponsive to the usual plastic surgical maneuvers. We used anatomic and nonanatomic (filleting) approaches to hip disarticulation in three patients with severe chronic cavernous decubitus ulcers. All patients were rehabilitated to wheelchair ambulation, with subsequent healing of the operative sites. This type of therapy might be considered in paraplegics with less compelling reasons for amputation, because of the associated rehabilitation potential.
一小部分截瘫患者会出现慢性褥疮，对常规整形外科手术无反应。我们对三名患有严重慢性海绵状褥疮的患者采用了解剖学和非解剖学（去骨）方法进行髋关节离断术。所有患者均康复至可坐轮椅行走，手术部位随后愈合。由于具有相关的康复潜力，对于截肢理由不那么充分的截瘫患者，可考虑这种类型的治疗。
