The healing of through-knee amputations in relation to skin perfusion pressure.
نویسندگان
چکیده
The healing in 20 through-knee amputations was compared with preoperatively measured skin perfusion pressure, determined as the minimal external pressure required to stop the washout of isotopes injected intradermally 10 cm distal to the knee joint. Out of 18 amputations with a skin perfusion pressure of above 20 mmHg only 2 failed to heal, whereas 2 out of 4 cases with skin perfusion pressure below 20 mmHg failed to heal. It is concluded that the through-knee amputation must be considered in cases where the circulation is borderline for healing in below-knee amputation.
منابع مشابه
Ischaemic wound complications in above-knee amputations in relation to the skin perfusion pressure.
Healing of the stumps in 59 above-knee amputations was correlated with the local skin perfusion pressure (SPP) measured preoperatively as the external pressure required to stop isotope washout using 131I-(-) or 125I-(-) antipyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mmHg no fewer than 9 (82 per cent) suffered wound complications. Out of the 48 cases with an SPP above ...
متن کاملMeasurement of skin perfusion pressure by photoelectric technique--an aid to amputation level selection in arteriosclerotic disease.
During a period of 14 months 60 amputations, 41 below-knee and 19 above-knee, were performed on 54 patients with gangrene of the lower limb. Wound healing was evaluated in 59 amputations. A newly introduced standardized photoelectric technique for measurement of the local skin perfusion pressure (SPP) was used preoperatively, the result of which served as a guide to the selection of the proper ...
متن کاملLong posterior flap versus equal sagittal flaps in below-knee amputation for ischaemia.
We analysed the complication rate in 140 below-knee amputations in relation to surgical technique and the presence of diabetes. In all cases, the skin perfusion pressure was measured below the knee before operation to provide an objective evaluation of the microcirculation. In diabetic patients we found a significantly higher complication rate after using a long posterior flap than after equal ...
متن کاملCarbomer 940 Hydrogel Enhances Capillary Blood Flow and Tissue Viability in a Skin Burn Wound
Objective- To evaluate the application of Carbomer 940 hydrogel on saving zone of stasis in skin burn wound. Design- Experimental study Animals- Twenty rats. Procedures- After shaving the backs, a ‘comb burn’ was contacted bilaterally on the dorsum of the rats 0.5 cm lateral and parallel to the midline by usin...
متن کاملمقایسه میزان رضایت بیماران از اندازههای ابعادی سوکت در 3 روش قالبگیری پروتز
Below knee amputation, which is noticed as one of the most common lower extremity amputations, is caused as a result of various factors like trauma, disease, or congenital limb deficiencies. In order to take these amputees back to daily life, below knee prostheses are used as an alternate to original limb. Comfort and patients’ satisfaction with prostheses are directly related to each prost...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Prosthetics and orthotics international
دوره 7 2 شماره
صفحات -
تاریخ انتشار 1983