Nicholas G G, DeMuth W E
Surg Gynecol Obstet. 1976 Sep;143(3):398-400.
Twenty-seven arteriosclerotic amputees were evaluated to determine the value of the rigid dressing technique for amputation wound management. Results were compared with those for patients having conventional stump wound management. The two groups were similar in number, age and incidence of diabetes. All the patients treated with the rigid dressing had primary healing of the amputation wound, while 13 patients treated with the conventional dressing had primary healing. Long term rehabilitation to the use of a prosthesis was not improved by the application of a rigid dressing on the amputation wound. Our current preference is use of the rigid dressing applied in the operating room at the time of amputation. If the wound is satisfactory and the general condition of the patient is such that he can use a temporary pylon, it is attached to the cast at the first change, about two weeks after operation.
对27例动脉硬化性截肢患者进行评估，以确定刚性敷料技术在截肢伤口处理中的价值。将结果与采用传统残端伤口处理的患者进行比较。两组在人数、年龄和糖尿病发病率方面相似。所有接受刚性敷料治疗的患者截肢伤口均一期愈合，而13例接受传统敷料治疗的患者实现了一期愈合。在截肢伤口上应用刚性敷料并未改善使用假肢的长期康复情况。我们目前倾向于在截肢时于手术室应用刚性敷料。如果伤口情况良好且患者的一般状况允许其使用临时支具，则在术后约两周的首次换药时将其固定在石膏上。
