足部截肢的假肢师处理方式.pptx

Prosthetic Treatment for Partial Foot Amputation足部截肢的假肢处理方式;Foot bone structures（足部骨骼结构） ;Levels of Foot Amputations（足部截肢平面）;International name: Trans-metatarsal peripheral amp. （国际通用名:经跖骨远端截肢） Clinical sign: Amputation according to Sharp（临床名：Sharp截肢) Here the amputation line goes through the heads of the metatarsus bones, therefore through the spongious bone areas. Amputations at the diaphysis level are very unfavorable because the bones thin down and become very pointed, thus making the prosthetic treatment very complicated. (截肢线经过跖骨头部，因此经过跖骨髁部。经跖骨干截肢不好，因为此处骨变小而且很尖，安装假肢将很复杂。） The ends of the bones cut by amputation must be well curved on the plantar side. The scar should be positioned on the cranial side of the foot so that the skin of the foot sole can be pulled over the ends of the cut bones. （被截肢骨末端的足底面应该圆滑修整，伤疤应该安置在足背面，因此，足底皮肤可以被拉上来覆盖截骨末端。）;International sign: Trans-metatarsal proximal amp. （国际通用名:经跖骨远端截肢） Clinical sign: Amputation according to Sharp-J?ger（临床名：Sharp-J?ger 截肢） If the metatarsus cannot be preserved, amputation line will go through the basis of the metatarsus bones. Prosthetic device is indicated here, but an orthopedic-technical shoe treatment is recommended especially for elderly patients.（如果跖骨不能保留，截肢线应经过跖骨基底。此处可以安装假肢，但要配符合矫形技术的鞋，尤其对老年人来说。）;Disarticulation of toes 跖趾关节离断;Clinical name: Amputation according to Lisfranc （临床名：Lisfranc 截肢） Disarticulation in the Lisfranc line cannot be treated without prosthetic problems because the bones of tarsus are of different length and the stump end is uneven. 经Lisfranc（线离断截肢不处理的，安置假肢会有问题，因为跗骨长短不一、残端不平整。） If the lengths of the tarsus bones are adjusted through operation they show good functional results (according to Baumgartner). 如果跗骨长度通过手术处理的话，会有很好的功能效果（ 据Baumgartner） For this type of amputation, shoe-technical possibilities are no longer enough, therefore there is a clear indication for prosthetic treatment. 这种类型截肢，矫形鞋技术已经不够，因此，需要安置假肢处理。;Clinical name: Amputation according to Bona-J?ger（临床名：Bon