足部截肢的假肢处理方式.pptxVIP

ProstheticTreatmentforPartialFootAmputation

足部截肢的假肢处理方式;Footbonestructures（足部骨骼结构）

;LevelsofFootAmputations（足部截肢平面）;Internationalname:Trans-metatarsalperipheralamp.

（国际通用名:经跖骨远端截肢）

Clinicalsign:AmputationaccordingtoSharp（临床名：Sharp截肢)

Heretheamputationlinegoesthroughtheheadsofthemetatarsusbones,thereforethroughthespongiousboneareas.Amputationsatthediaphysislevelareveryunfavorablebecausethebonesthindownandbecomeverypointed,thusmakingtheprosthetictreatmentverycomplicated.(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。）

Theendsofthebonescutbyamputationmustbewellcurvedontheplantarside.Thescarshouldbepositionedonthecranialsideofthefootsothattheskinofthefootsolecanbepulledovertheendsofthecutbones.（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。）;Internationalsign:Trans-metatarsalproximalamp.（国际通用名:经跖骨远端截肢）

Clinicalsign:AmputationaccordingtoSharp-J?ger（临床名：Sharp-J?ger截肢）

Ifthemetatarsuscannotbepreserved,amputationlinewillgothroughthebasisofthemetatarsusbones.Prostheticdeviceisindicatedhere,butanorthopedic-technicalshoetreatmentisrecommendedespeciallyforelderlypatients.（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。）;Disarticulationoftoes

跖趾关节离断;Clinicalname:AmputationaccordingtoLisfranc（临床名：Lisfranc截肢）

DisarticulationintheLisfranclinecannotbetreatedwithoutprostheticproblemsbecausethebonesoftarsusareofdifferentlengthandthestumpendisuneven.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。）

Ifthelengthsofthetarsusbonesareadjustedthroughoperationtheyshowgoodfunctionalresults(accordingtoBaumgartner).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）

Forthistypeofamputation,shoe-technicalpossibilitiesarenolongerenough,thereforethereisaclearindicationforprosthetictreatment.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。;Clinicalname:AmputationaccordingtoBona-J?ger（临床名：Bon