臨床整形外科49巻1号

2014年01月発行

誌上シンポジウム 下肢壊疽の最新治療

切断術後のリハビリテーション

著者： 幸野秀志¹ 陳隆明²

所属機関： ¹兵庫県立リハビリテーション中央病院整形外科 ²兵庫県立リハビリテーション中央病院ロボットリハビリテーションセンター

ページ範囲：P.37 - P.41

　末梢循環障害による切断は大腿切断に比べて下腿切断が増加している．下腿切断の義足歩行獲得成功率は大腿切断に比べて高いが，一般病院では依然として低い．末梢循環障害起因の下肢切断者のリハビリテーション(以下，リハ)は，多方面的なリハアプローチが必要であるため，専門病院との早期の連携が必要である．リハ期間の短縮には断端ケアによる早期の断端の成熟が必要であり，近年では下腿切断に対しシリコンライナーを使った断端ケアが有効である．

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