| Autor: |
Pinzur, Michael, Morrison, Carol, Sage, Ronald, Stuck, Rodney, Osterman, Helen, Vrbos, Lori |
| Zdroj: |
Foot and Ankle International; June 1991, Vol. 11 Issue: 6 p394-396, 3p |
| Abstrakt: |
Thirty-five insulin-requiring adult diabetic patients underwent 38 Syme's Two-Stage amputations for gangrene of the forefoot with nonreconstructible peripheral vascular insufficiency. All had a minimum Doppler ischemic index of 0.5, serum albumin of 3.0 gm/dl, and total lymphocyte count of 1500. Thirty-one (81.6%) eventually healed and were uneventfully fit with a prosthesis. Regional anesthesia was used in all of the patients, with 22 spinal and 16 ankle block anesthetics. Twenty-seven (71%) returned to their preamputation level of ambulatory function. Six (16%) had major, and fifteen (39%) minor complications following the first stage surgery. The results of this study support the use of the Syme's Two-Stage amputation in adult diabetic patients with gangrene of the forefoot requiring amputation. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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