Selection of amputation level in ischemia: Skin blood flow and perfusion pressure equally predictive
| Autor: | Henrik Oxhøj, Villiam Damholt, Hans R. I. Jørgensen, Niels Wisbech Pedersen |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Ischemia Blood Pressure Amputation Surgical Gangrene Preoperative Care Humans Medicine Orthopedics and Sports Medicine Aged Skin Aged 80 and over Leg Wound Healing business.industry Blood flow Middle Aged medicine.disease Surgery Blood pressure Amputation Regional Blood Flow Anesthesia Orthopedic surgery Female Amputation level business Wound healing Perfusion |
| Zdroj: | Acta Orthopaedica Scandinavica. 61:62-65 |
| ISSN: | 0001-6470 |
| DOI: | 10.3109/17453679008993069 |
| Popis: | In 33 patients who had major amputation for ischemia of the lower extremity, skin blood flow and perfusion pressure were compared in terms of prediction of amputation level. Skin blood pressure was measured photoelectrically. Only the blood flow was known to the surgeon. The primary amputation was performed below the level of the knee in 15 patients, through-knee in 14, and above the knee in only 4 patients. Primary healing was achieved in 27 patients, 5 patients had delayed healing at the same level, and 1 patient was reamputated. The same amputation level was predicted in 24 patients (primary healing/secondary healing/failure = 20/3/1) and a different one in 9 patients. In 4 patients the perfusion pressure suggested a more proximal amputation (2/2/0) and in 5 patients a more distal amputation (all primary healing). There was no difference between the two methods in predicting wound healing. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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