Pinzur M S
Loyola University Medical School, Maywood, Illinois.
Clin Orthop Relat Res. 1993 Nov(296):68-70.
Walking independence in the diabetic patient with gangrene or infection can be maintained with a conservative program of distal amputation. Patients are preevaluated for their rehabilitation potential. The biologic amputation level (the most distal functional amputation level with a reasonable potential to heal) is determined by a measure of vascular inflow, tissue nutrition, and immunocompetence. By combining wound-healing potential with rehabilitation potential, one can determine the amputation level that will most likely optimize function.
对于患有坏疽或感染的糖尿病患者，通过保守的远端截肢方案可以维持行走独立性。对患者进行康复潜力的预评估。生物截肢水平（具有合理愈合潜力的最远端功能性截肢水平）由血管流入、组织营养和免疫能力的测量来确定。通过将伤口愈合潜力与康复潜力相结合，可以确定最有可能优化功能的截肢水平。
