Yamanaka M, Kwong P K
Clin Orthop Relat Res. 1985 Dec(201):75-9.
Wound healing, as well as surgical and prosthetic aspects of the residual limb, was investigated in the below-the-knee amputation using the side-to-side flap technique. Of 23 patients, 74% achieved primary wound healing. The stump length ranged from 27% to 70% of the normal limb, and the mean percentage was 56%. The group with long stumps did not show increased risk of wound complication. All the patients had a nonbulbous dome-shaped stump that posed no prosthetic difficulty. This technique allows the longest possible limb to be preserved, and expenditure of the least amount of energy in ambulation.
采用侧方皮瓣技术对膝下截肢患者的伤口愈合以及残肢的外科和假肢方面进行了研究。23例患者中，74%实现了一期伤口愈合。残肢长度为正常肢体的27%至70%，平均百分比为56%。长残肢组未显示出伤口并发症风险增加。所有患者的残肢均为非球根状圆顶形，不存在假肢适配困难。该技术能够保留尽可能长的肢体，并在行走时消耗最少的能量。
