Hunter G A, Waddell J P
Can Med Assoc J. 1976 Oct 9;115(7):634-8.
Most leg amputations are performed because of the effects of peripheral vascular disease. Only 50% of such amputations were performed below the knee in Ontario in 1972, although the knee joint should be preserved in most patients. Careful preoperative evaluation is essential. Postoperative problems include gas gangrene for which prophylactic measures are recommended; failure of the stump to heal, which necessitates early revision of the stump; and defects in stump contour, which necessitate late revision. An enthusiastic team approach to rehabilitation is necessary to overcome the physical and mental problems that result from amputation of a leg.
大多数腿部截肢手术是由于外周血管疾病的影响而进行的。1972年在安大略省，此类截肢手术中只有50%是在膝关节以下进行的，尽管大多数患者的膝关节应予以保留。术前仔细评估至关重要。术后问题包括建议采取预防措施的气性坏疽；残端愈合不良，这需要尽早对残端进行修复；以及残端外形缺陷，这需要后期进行修复。必须采取积极的团队康复方法来克服因腿部截肢而导致的身心问题。
