Pinzur M S, Gottschalk F, Smith D, Shanfield S, de Andrade R, Osterman H, Roberts J R, Orlando-Crombleholme P, Larsen J, Rappazzini P
Special Teams for Amputations, Mobility, Prosthetics/Orthopaedics (STAMP) Centers, VA Hines, Illinois.
Clin Orthop Relat Res. 1993 Jan(286):247-9.
A retrospective functional outcome study was performed on 299 patients treated with below-knee amputations for peripheral vascular disease during a three-year period in six Veterans Administration special amputee centers. Sixty-one percent of the patients were diabetic, and 25% were previously unilateral amputees. Surgery was performed with a long posterior flap in 92.3%, sagittal flaps in 20%, and guillotine open technique in 5.7%. Wound management was accomplished with rigid plaster dressings in 75.3%, pneumatic compression dressing in 14%, and soft dressings in 10.7%. At follow-up evaluation one to two years later, 36.1% had died. Thirteen percent suffered wound complications, with 6.7% requiring revision to a more proximal amputation level. Eighty-seven percent of community ambulators maintained their ambulatory status. A comparable percentage maintained their ability to walk with a prosthesis.
对六个退伍军人管理局特殊截肢中心在三年期间接受膝下截肢治疗外周血管疾病的299例患者进行了一项回顾性功能结局研究。61%的患者患有糖尿病，25%曾是单侧截肢者。92.3%的手术采用长后皮瓣，20%采用矢状皮瓣，5.7%采用断头开放式技术。75.3%的伤口处理采用硬石膏敷料，14%采用气动压迫敷料，10.7%采用软敷料。在一到两年后的随访评估中，36.1%的患者死亡。13%的患者出现伤口并发症，其中6.7%需要将截肢水平提高至更近端。87%的社区行走者维持了他们的行走状态。维持使用假肢行走能力的比例与之相当。
