Wlotzke U, Baumgartner R, Landthaler M
Praxis für Dermatologie, Allergologie und Phlebologie, Ulm.
Z Orthop Ihre Grenzgeb. 1997 May-Jun;135(3):233-5. doi: 10.1055/s-2008-1039586.
Dermatologic problems in leg amputees mainly result from their specific prosthetic supply. As this relationship is not well documented in the German language literature, we try to illustrate important pathophysiologic aspects of lower and upper limb prostheses in two highly characteristic dermatoses, epidermoid cysts and verrucous hyperplasia (papillomatosis cutis lymphostatica). Their management includes improvements in prostheses' workmanship and conceptional changes (e.g. CAT-CAM-technique). Interdisciplinar diagnostic and therapeutic efforts particularly between orthopedic surgeons, prosthetists and dermatologists should prevent immobility of the amputee at an early stage.
腿部截肢者的皮肤问题主要源于其特定的假肢配置。由于德语文献中对此关系的记载并不充分,我们试图在两种极具特征性的皮肤病——表皮样囊肿和疣状增生(皮肤淋巴管瘤病)中阐述下肢和上肢假肢的重要病理生理方面。其处理措施包括改进假肢工艺和概念性改变(如计算机辅助制造技术)。跨学科的诊断和治疗努力,特别是骨科医生、假肢师和皮肤科医生之间的合作,应在早期预防截肢者出现行动不便的情况。