Greitemann B, Baumgartner R, Schüling S
Klinik und Poliklinik für Technische Orthopädie und Rehabilitation, Westf. Wilhelms-Universität Münster.
Z Orthop Ihre Grenzgeb. 1994 May-Jun;132(3):221-6. doi: 10.1055/s-2008-1039966.
Disarticulation of the knee results in an excellent end-bearing stump. Operative technique is easy, fast and gentle. The muscular balance in the femur is not disturbed. The shape of the stump provides excellent rotation control in the prosthesis. New socket designs and prosthetic knee mechanisms have eliminated the former cosmetic problems concerning this amputation level. Nevertheless--because of external rotation of the femur, poor skin quality or wound closure under tension skin necrosis can occur, most of the times concerning the lateral condyle region. Several operative possibilities to get a satisfactory wound closure while preserving the advantages of this stump are presented.
膝关节离断可形成优良的末端承重残端。手术技术简便、快速且轻柔。股骨的肌肉平衡未受干扰。残端形状能在假体中提供出色的旋转控制。新的接受腔设计和假肢膝关节机制已消除了此前与该截肢平面相关的外观问题。然而，由于股骨外旋、皮肤质量差或伤口在张力下闭合，可能会发生皮肤坏死，多数情况下涉及外侧髁区域。本文介绍了几种在保留该残端优势的同时实现满意伤口闭合的手术方法。
