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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.

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。

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