Chirurgia narzadow ruchu i ortopedia polska · 2002
[The value of the Syme amputation in selected cases of diabetic foot].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
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Wasiak Krzysztof, Jagodziński Krzysztof, Gmitrzak-Trzeszczkowska Elzbieta, Paczkowski Paweł M, Garlicki Janusz
Аннотация
The aim of this paper was to assess the surgical and functional results of Syme's amputation in patients with infected necrosis of the fore- and midfoot caused by diabetes. The material consisted of 5 patients (4 men) age ranging from 44 to 78 years. No stump healing was achieved in a 44 year old man with arteriosclerosis who did not agree to a higher amputation. Prostheses were implemented in patients whose wounds healed 3-6 weeks after surgery. Follow-up period ranged from 2 to 6 years. Three patients died 4-5.5 years after surgery. One patient (equipped with a prosthesis) was observed for a period of 2 years, after which she gave up further medical care. One patients is doing well and using his prosthesis 6 years after surgery. In selected cases of diabetic foot, the Syme's amputation is a useful method of treatment, both from a surgical and functional aspect.