Rehabilitation of the AmputeeAt the present time vascular diseases are responsible for the majority of amputations in the elderly. People live longer but, in doing so, they outlive their limbs. Before analysing the levels of amputation and the rehabilitation of the patients, it is of interest to consider the figures related to the whole problem: Total number of amputees in England and Wales, 1963 83,000 Loss of upper limbs approx. 13,000 Loss of lower limbs approx. 70,000 Total new or 'primary' cases in 1963 Due to disease Due to industrial accidents and trauma Congenital 4,300 72% 23% 5% At first attendance 59% of primary amputees are over 60 years of age, and the pathology in most cases is either diabetic or arteriosclerotic gangrene.