Francis W, Renton C J
County Hospital, Hereford, United Kingdom.
Prosthet Orthot Int. 1987 Aug;11(2):85-9. doi: 10.3109/03093648709078184.
This study is concerned with the degree of mobility achieved by patients following major amputation for arterial occlusive disease of the legs and its relationship to the level of amputation. Eighty-four out of a possible 85 consecutive amputees form the basis of the study and the degree of mobility was assessed and graded in survivors six months after amputation. Of the 69 survivors 74% were mobile to some degree and 57% walked daily with a prosthesis. Sixty-five per cent of all the amputations were below-knee. Seventeen per cent of below-knee stumps in patients surviving two weeks failed to heal. In amputees who attained a unilateral mobile healed stump 78% with below-knee amputations and 50% with above-knee amputations walked daily with a prosthesis. To obtain maximum mobility the knee should be retained whenever practical even though this results in some unhealed stumps requiring revision.
本研究关注因下肢动脉闭塞性疾病接受大截肢手术的患者所达到的活动程度及其与截肢水平的关系。在可能的85例连续截肢患者中，84例构成了研究基础，并在截肢后六个月对幸存者的活动程度进行了评估和分级。在69名幸存者中，74%在某种程度上能够活动，57%每天使用假肢行走。所有截肢手术的65%为膝下截肢。存活两周的患者中，17%的膝下残肢未能愈合。在获得单侧可活动愈合残肢的截肢患者中，78%的膝下截肢者和50%的膝上截肢者每天使用假肢行走。为了获得最大程度的活动能力，只要可行，就应保留膝关节，尽管这会导致一些未愈合的残肢需要进行修正。
