Pinzur M S, Izquierdo R
Department of Orthopaedic Surgery, Loyola University Medical Center, Maywood, Illinois, USA.
Am J Orthop (Belle Mead NJ). 1997 Jul;26(7):491-3.
An otherwise healthy 17-year-old young man developed bilateral heel pad necrosis due to meningococcemia, adult respiratory distress syndrome, and disseminated intravascular coagulation. Bilateral ankle disarticulation amputations were salvaged by use of a dorsally based local flap on one residual limb and a free muscle transfer to reconstruct the weight-bearing surface of the contralateral residual limb. The case report illustrates two methods of unusual salvage of the end-bearing, weight-bearing surface of the residual limbs in a bilateral end-bearing amputation.
一名原本健康的17岁青年男子因脑膜炎球菌血症、成人呼吸窘迫综合征和弥散性血管内凝血而出现双侧足跟垫坏死。通过在一侧残肢上使用背侧带蒂局部皮瓣和游离肌肉移植来重建对侧残肢的负重面，挽救了双侧踝关节离断截肢。该病例报告说明了在双侧承重截肢中对残肢承重面进行非常规挽救的两种方法。
