The Skin Temperature Guided Lower Limb Amputation
Journal
中華民國重建整形外科醫學會雜誌
Journal Volume
5
Journal Issue
4
Pages
226-230
Date Issued
1996
Author(s)
Abstract
Amputation of lower limb has been a final conclusion of disaster for an intractable wound at distal end of the lower limb. The amputation procedure has been frequently taken place with wide varieties of different techniques. However in order to facilitate the efficacy of this procedure special attention has been employed to secure the good wound healing and to create durable amputated stump. In such repeated further amputation can be avoided and also early prosthesis fitting can be done to facilite the ambulaton of the patient. We utilize the surface skin temperature monitoring as a guide to decide the level of amputation. This is one of the most easy and noninvasive indicaton to judge the circulation. By experience, we define the isothermal line of 31℃ as a critical line of survival of tissue. And the amputated cut was done within the territory above the 31℃ isothermal zone. The design of flap at the amputated end also follow the situation of 31℃ isothermal line to modify. From Feb. 1995 to Nov. 1995. We had six lower limb ampulation guided with such skin temperature isothermal line and obtained excellent results on all stumps. We feel this is a easy and practical way to judge the level of ampulation.
SDGs
Type
journal article