書誌事項
- タイトル別名
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- A study of hemodynamic status in modified transmetatarsal amputation of CLI patients
- ジュウショウ カシキョケツ カンジャ ニ オケル Modified Transmetatarsal Amputation ゼンゴ ノ ケッコウ ドウタイ ノ ケントウ
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We have performed modified transmetatarsal amputation (modified TMA) which preserves perforators around metatarsal bones to prevent soft tissues necrosis. In some cases, declines in blood flow to soft tissues and necrosis couldn’t avoid, nevertheless modified TMA was performed. In order to examine the causes of declines of blood flow to peripheral tissues, we researched 11 patients’ changes of skin perfusion pressure (SPP) before and after modified TMA. All patients were operated revascularization procedure before TMA. 3 patients’ both dorsal and plantar SPP rose. 3 patients’ both dorsal and plantar SPP decreased and their wound healings were protracted. 4 patients’ either side SPP decreased on the other side SPP rose and 2 of their wound healings were protracted. Revascularized arteries were obstructed on 3 patients whose both side SPP decreased. Perforator occlusion will be responsible for either side SPP decreasing. Modified TMA has high rate of wound healing. But it has a possibility that leads to soft tissue necrosis because of perforator occlusion. How to prevent perforator occlusion is our future consideration.
収録刊行物
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- 日本下肢救済・足病学会誌
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日本下肢救済・足病学会誌 4 (3), 169-172, 2012
日本下肢救済・足病学会
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詳細情報 詳細情報について
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- CRID
- 1390282680314267904
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- NII論文ID
- 130001930763
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- NII書誌ID
- AA12678449
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- ISSN
- 21871957
- 1883857X
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- NDL書誌ID
- 024029092
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可