Knahr K, Kristen H
Langenbecks Arch Chir. 1979 Nov;350(1):1-11. doi: 10.1007/BF01232090.
Based on the results with thirty patients, disarticulation in the knee is to be recommended as a very good amputation level. Two groups of patients seem to be especially suitable for this amputation level: patients with malignant bone tumors of the proximal tibia or fibula and patients with peripheral vascular diseases. Above all, the easy operational technique and the functionally valuable long thigh stump offer decisive advantages as compared with amputation of the thigh. Problems with prosthesis fitting were solved through modification of the socket shape as well as new developments in artificial knee joints.
基于对30例患者的研究结果,建议膝关节离断作为一种非常好的截肢平面。两组患者似乎特别适合这种截肢平面:胫骨近端或腓骨恶性骨肿瘤患者以及周围血管疾病患者。最重要的是,与大腿截肢相比,其操作技术简便且大腿残端功能价值高,具有决定性优势。通过改进接受腔形状以及人工膝关节的新发展解决了假肢适配问题。