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TENDO-ACHILLIS PROCEDURES FOR CHRONIC ULCERATIONS IN DIABETIC-PATIENTS WITH TRANSMETATARSAL AMPUTATIONS
被引：54
作者：
BARRY, DC
SABACINSKI, KA
HABERSHAW, GM
GIURINI, JM
CHRZAN, JS
机构：
[1] Department of Surgery, Harvard Medical School, Boston, MA
来源：
JOURNAL OF THE AMERICAN PODIATRIC MEDICAL ASSOCIATION
|
1993年
/
83卷
/
02期
关键词：
D O I：
10.7547/87507315-83-2-96
中图分类号：
R826.8 [整形外科学];
R782.2 [口腔颌面部整形外科学];
R726.2 [小儿整形外科学];
R62 [整形外科学（修复外科学）];
学科分类号：
摘要：
Recurrent ulceration following transmetatarsal amputation commonly results from hypertrophic bone formation or equinus deformity. In the current study, 31 diabetic patients underwent 33 Achilles tendon procedures for recurrent ulcerations at the distal stump of their transmetatarsal amputation. Primary healing was achieved in 21 procedures (64%) and secondary healing in 9 procedures (27%) for an overall healing rate of 91%. Two procedures failed to resolve the original ulceration (6%). The average follow-up examination was 27 months. The authors conclude that Achilles tendon procedures are an effective means of managing ulcerations in transmetatarsal amputation feet exhibiting an equinus deformity.
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页码：96 / 100
页数：5
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