Baumgartner R F
Prosthet Orthot Int. 1979 Apr;3(1):15-9. doi: 10.3109/03093647909164695.
If below-knee amputation is impossible, knee disarticulation should be considered before above-knee amputation, regardless of age and etiology. Knee disarticulation which leaves the femur and patella untoched offers many advantages. The surgical technique is simple and non-traumatic since no bone or muscle tissue is to be dissected. The thigh muscles are completely preserved and thus there is no muscular imbalance. The stump permits total end bearing and its bulbous shape permits easy and firm attachment of the prosthesis. A specially designed double-wall socket and various types of knee joints are presented. Modern prostheses are superior to above-knee prostheses with regard to function, comfort and cosmesis. Results of 72 patients of all age groups are presented and discussed.
如果无法进行膝下截肢，则无论年龄和病因如何，在进行大腿截肢之前应考虑膝关节离断术。保留股骨和髌骨的膝关节离断术有许多优点。手术技术简单且无创，因为无需解剖骨骼或肌肉组织。大腿肌肉得以完全保留，因此不存在肌肉失衡问题。残端可实现完全的末端负重，其球根状外形便于假肢轻松、牢固地附着。文中介绍了一种专门设计的双壁接受腔和各种类型的膝关节。现代假肢在功能、舒适度和美观方面优于大腿假肢。本文展示并讨论了72例各年龄组患者的治疗结果。
