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1
Innovations in Gritti-Stokes Amputation: A Focused Analysis of Immobile Patient Outcomes.格里蒂-斯托克斯截肢术的创新:对行动不便患者结局的重点分析。
Cureus. 2024 Sep 23;16(9):e69998. doi: 10.7759/cureus.69998. eCollection 2024 Sep.
2
[A modified Gritti-Stokes amputation for vascular indications in the elderly: futility or utility?].[改良Gritti-Stokes截肢术用于老年患者血管疾病的治疗:徒劳之举还是有效之法?]
J Mal Vasc. 2011 Jul;36(4):261-9. doi: 10.1016/j.jmv.2011.06.004. Epub 2011 Jul 13.
3
The Gritti-Stokes Amputation: Is It Still a Reliable Technique in the 21st Century? A Narrative Review.格里蒂-斯托克斯截肢术:在 21 世纪它仍是一种可靠的技术吗?一篇叙述性综述。
Medicina (Kaunas). 2024 May 30;60(6):911. doi: 10.3390/medicina60060911.
4
Modified Gritti-Stokes amputation: tips and tricks.改良格里蒂-斯托克斯截肢术:技巧与窍门
EFORT Open Rev. 2024 Apr 4;9(4):276-284. doi: 10.1530/EOR-23-0118.
5
Prosthetic fitting associated with better survival at 5 years after above-knee amputation due to vascular insufficiency.由于血管供应不足而进行的膝上截肢后 5 年,与假肢适配相关的存活率更高。
Ann Phys Rehabil Med. 2023 Jun;66(5):101727. doi: 10.1016/j.rehab.2022.101727. Epub 2023 Jan 15.
6
Rehabilitation after lower limb amputation: a comparative study of above-knee, through-knee and Gritti-Stokes amputations.下肢截肢后的康复:膝上截肢、经膝截肢和格里蒂-斯托克斯截肢的比较研究。
Br J Surg. 1989 Jun;76(6):622-4. doi: 10.1002/bjs.1800760633.
7
Gritti-stokes amputations in the trauma patient: clinical comparisons and subjective outcomes.创伤患者的 Gritti-Stokes 截肢:临床比较和主观结果。
J Bone Joint Surg Am. 2012 Apr 4;94(7):602-8. doi: 10.2106/JBJS.K.00557.
8
A prospective randomized comparison of healing in Gritti-Stokes and through-knee amputations.格里蒂-斯托克斯截肢术与经膝截肢术愈合情况的前瞻性随机对照研究。
Ann R Coll Surg Engl. 1987 Jan;69(1):1-4.
9
Gritti-Stokes (through-knee) amputation: should it be reintroduced?格里蒂-斯托克斯(经膝关节)截肢术:是否应重新采用?
South Med J. 2001 Oct;94(10):997-1001.
10
A modified Gritti-Stokes amputation technique as a solution for recurring aseptic loosening of a knee arthroplasty: A single-patient case study.改良 Gritti-Stokes 截肢术治疗膝关节置换术后反复无菌性松动:单病例研究。
Prosthet Orthot Int. 2021 Feb;45(1):85-88. doi: 10.1177/0309364620946913.

本文引用的文献

1
Investigation on three-dimensional printed prosthetics leg sockets coated with different reinforcement materials: analysis on mechanical strength and microstructural.不同增强材料三维打印假肢接受腔的研究:力学强度与微观结构分析。
Sci Rep. 2024 Mar 21;14(1):6842. doi: 10.1038/s41598-024-57454-8.
2
Prosthetic fitting associated with better survival at 5 years after above-knee amputation due to vascular insufficiency.由于血管供应不足而进行的膝上截肢后 5 年,与假肢适配相关的存活率更高。
Ann Phys Rehabil Med. 2023 Jun;66(5):101727. doi: 10.1016/j.rehab.2022.101727. Epub 2023 Jan 15.
3
3D-printed prostheses in developing countries: A systematic review.发展中国家的 3D 打印假体:系统评价。
Prosthet Orthot Int. 2022 Feb 1;46(1):19-30. doi: 10.1097/PXR.0000000000000057.
4
Gritti-Stokes Amputation in the Trauma Patient: Tips and Techniques.创伤患者的格里蒂-斯托克斯截肢术:技巧与技术
JBJS Essent Surg Tech. 2012 Apr 11;2(2):e7. doi: 10.2106/JBJS.ST.K.00048. eCollection 2012 Apr.
5
A Reevaluation of the Gritti-Stokes (Above-Knee) Amputation for the Nonambulatory Patient.对非行走患者的格里蒂-斯托克斯(膝上)截肢术的重新评估。
Ann Vasc Surg. 2019 Oct;60:468-473. doi: 10.1016/j.avsg.2019.03.006. Epub 2019 Jun 12.
6
Update on peripheral artery disease: Epidemiology and evidence-based facts.外周动脉疾病最新进展:流行病学及循证事实
Atherosclerosis. 2018 Aug;275:379-381. doi: 10.1016/j.atherosclerosis.2018.05.033. Epub 2018 May 22.
7
[A modified Gritti-Stokes amputation for vascular indications in the elderly: futility or utility?].[改良Gritti-Stokes截肢术用于老年患者血管疾病的治疗:徒劳之举还是有效之法?]
J Mal Vasc. 2011 Jul;36(4):261-9. doi: 10.1016/j.jmv.2011.06.004. Epub 2011 Jul 13.
8
Gritti-Stokes amputation for atherosclerotic gangrene.用于治疗动脉粥样硬化性坏疽的格里蒂-斯托克斯截肢术。
Lancet. 1962 Jul 7;2(7245):16-20. doi: 10.1016/s0140-6736(62)92932-x.
9
Limb amputation and limb deficiency: epidemiology and recent trends in the United States.肢体截肢与肢体缺损:美国的流行病学及近期趋势
South Med J. 2002 Aug;95(8):875-83. doi: 10.1097/00007611-200208000-00018.
10
Role of Gritti-Stokes amputation in peripheral vascular disease.格里蒂-斯托克斯截肢术在周围血管疾病中的作用。
Ann R Coll Surg Engl. 1997 Mar;79(2):102-4.

格里蒂-斯托克斯截肢术的创新:对行动不便患者结局的重点分析。

Innovations in Gritti-Stokes Amputation: A Focused Analysis of Immobile Patient Outcomes.

作者信息

Okaz Mahmoud, Elshikhawoda Mohamed S M, Hamad Hisham Abdelrheem Abdelrhman, Jararaa Sohaib, Roble Abdillahi Ahmed, Nawaz Ehsan, Thomas Heledd Catrin, Zahid Muhammad Numan, Ahmad Waseem, Barakat Tarig

机构信息

Vascular Surgery, Glan Clwyd Hospital, Rhyl, GBR.

Surgery, University of Bahri, Khartoum, SDN.

出版信息

Cureus. 2024 Sep 23;16(9):e69998. doi: 10.7759/cureus.69998. eCollection 2024 Sep.

DOI:10.7759/cureus.69998
PMID:39445282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11498205/
Abstract

Background Major lower limb amputation is a surgical operation performed for different reasons, including life-threatening infection, ischemia, trauma, and tumors. This study aims to investigate the viability of Gritti-Stokes amputation as a suitable alternative for individuals with impaired mobility and peripheral vascular disease. Patients and methods This was a descriptive, retrospective, and observational study. All patients who met the criteria and underwent Gritti-Stokes amputation were included. The study had a duration of one year, commencing in December 2022 and concluding in December 2023. The data was processed using statistical software (SPSS, version 21; IBM Corp., Armonk, NY, US). Results Twenty-four patients were included. Concerning the complications, 16 patients (66.7%) did not experience any complications, while 7 patients (29.2%) had stump infections. Three of them ultimately required more extensive amputation. A phantom limb was observed in a single patient, accounting for a mere 4.2% of the total. Total of 21 patients, 87.5% reported great stability and lever motion when transitioning from bed to chair, as well as vice versa. Furthermore, wound healing was observed in 21 individuals (87.5%), encompassing both primary and secondary wound healing. Conclusion The Gritti-Stokes amputation provides patients with excellent stability and lever function to facilitate movement. The Gritti-Stokes amputation is a suitable option for immobile and high-risk patients.

摘要

背景 下肢大截肢是出于不同原因进行的外科手术,包括危及生命的感染、缺血、创伤和肿瘤。本研究旨在探讨格里蒂-斯托克斯截肢术作为行动不便和外周血管疾病患者合适替代方案的可行性。

患者与方法 这是一项描述性、回顾性观察研究。纳入所有符合标准并接受格里蒂-斯托克斯截肢术的患者。研究为期一年,从2022年12月开始至2023年12月结束。数据使用统计软件(SPSS,21版;美国纽约州阿蒙克市国际商业机器公司)进行处理。

结果 纳入24例患者。关于并发症,16例患者(66.7%)未出现任何并发症,而7例患者(29.2%)发生残端感染。其中3例最终需要进行更广泛的截肢。仅1例患者出现幻肢,占总数的4.2%。共有21例患者(87.5%)报告在从床转移到椅子以及从椅子转移到床时具有良好的稳定性和杠杆运动。此外,21例患者(87.5%)实现伤口愈合,包括一期和二期伤口愈合。

结论 格里蒂-斯托克斯截肢术为患者提供了出色的稳定性和杠杆功能以利于活动。格里蒂-斯托克斯截肢术是行动不便和高危患者的合适选择。