https://scholars.lib.ntu.edu.tw/handle/123456789/110637
標題: | Elective Amputation of the Toes in Severe Lymphedema of the Lower Leg Rationale and Indications | 作者: | CHEN, HUNG-CHI SU, SYI |
關鍵字: | Charles procedure;lymphedema;toes amputation;limb salvage | 公開日期: | 2009 | 起(迄)頁: | 331-332 | 來源出版物: | Yearbook of Vascular Surgery | 摘要: | Entry lesions at file toes interdigital spaces, in the setting of chronic lymphedema, are strongly associated with repetitive infective episodes which cause significant morbidity. A prospective Study was designed to evaluate the outcome in 2 groups of patients affected by end stage III lymphedema of the lower extremity. treated with the Charles procedure with or Without simultaneous amputation of the toes. At a mean 3 years of follow-up, 20% of the patients receiving elective toes amputation experienced recurrence of the infection and none required more proximal amputations. Among file patients not desiring elective toes amputation; 83 % suffered multiples attacks of cellulitis and in 88% the toes were eventually amputated. The difference in the number of infective episodes between file 2 groups was highly significant. No cases Of recurrent lymphedema were registered. Elective toes amputation in combination with the Charles procedure reduces recurrent cellulitis and long- term morbidity in stage III lymphedema of the lower leg. |
URI: | http://ntur.lib.ntu.edu.tw//handle/246246/185448 | DOI: | 10.1016/S0749-4041(09)79257-7 |
顯示於: | 健康政策與管理研究所 |
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