Mooney V, Nickel V L, Snelson R
Calif Med. 1967 Oct;107(4):330-3.
Better fit and function of prosthetic limbs is promoted when section and closure is done with attention to the prospective use of the stump as a pad for seating the limb. Preservation of tissue, fixing muscles to bone under physiologic tension, and making sure that bone ends are well covered with tissue are important to the comfort and usefulness of the limb that is to be fitted to the stump. Immediate application of a plaster-cast to form a total-contact socket for seating a temporary prosthetic limb, then early standing, weight-bearing and walking aid in healing and in shaping the stump to the permanent prosthetic socket it will ultimately occupy.
当进行截肢断面处理和残端闭合时,若能考虑到残端未来作为假肢支撑垫的用途,就能提升假肢的适配性和功能性。保留组织、在生理张力下将肌肉固定于骨骼以及确保骨端被组织良好覆盖,对于适配到残端的假肢的舒适度和实用性至关重要。立即应用石膏绷带以形成用于支撑临时假肢的全接触式接受腔,然后尽早站立、负重和行走,有助于愈合以及使残端成型以适应最终使用的永久性假肢接受腔。