Minor-Amputationen – eine „Maxi-Aufgabe“

Abstract

A threatening major amputation represents a fateful turning point for diabetics. This occurs in 50% of cases of amputations in diabetics. This increases the demand for another therapeutic route not only because of the limitations in quality of life but also due to substantially higher mortality. Even if an osteomyelitic ischemic situation is often present specialized centers have succeeded in substantially reducing the rate of major amputations in such patients. The term "minor amputation" commonly used in vascular surgery is not uniformly understood. Following the "vascular surgery working model" developed by Rümenapf, the significance of "minor amputations" for retention of extremities and the associated controversies have been shown. "Minor amputations" therefore represent a maxi-task if patients undergoing such a procedure are to be timely and competently treated. The necessary interdisciplinary cooperation with other specialists should in the future also include orthopedic surgeons.

Asociação entre internação hospitalar por diabetes mellitus e amputação de pé diabético

“…amputación de menor tamaño predispone al aumento de chance de amputación mayor (12) . La Sociedad Alemana de Cirugía Vascular (DGG) define amputaciones menores, a toda amputación abajo del tobillo (incluyendo Chopart amputación).…”

“…La Sociedad Alemana de Cirugía Vascular (DGG) define amputaciones menores, a toda amputación abajo del tobillo (incluyendo Chopart amputación). En países de lengua Portuguesa, amputación menor son todas las amputaciones distales a la línea de articulación tarsometatarsiana con resección anatómicamente correcta y encerramiento de la herida primaria (12) .…”