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Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Ischaemic wound complications in above-knee amputations in relation to the skin perfusion pressure

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  1. Patient compliance and effect of orthopaedic shoes

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Healing of the stumps in 59 above-knee amputations was correlated with the local skin perfusion pressure (SPP) measured preoperatively as the external pressure required to stop isotope washout using 131I-(-) or 125I-(-) antipyrine mixed with histamine. Out of the 11 cases with an SPP below 30 mmHg no fewer than 9 (82 per cent) suffered wound complications. Out of the 48 cases with an SPP above 30 mmHg severe wound complications occurred in only 4 cases (8 per cent). The difference in wound complication rate is highly significant (P < 0.01). It is concluded that the SPP can be used to predict ischaemic wound complications in above-knee amputations as has previously been shown to be the case in below-knee amputations.

OriginalsprogEngelsk
TidsskriftProsthetics and Orthotics International
Vol/bind4
Udgave nummer2
Sider (fra-til)81-6
Antal sider6
ISSN0309-3646
StatusUdgivet - aug. 1980

ID: 44415518