Natural history of the leg amputee

Couch, Nathan P.; David, Jennifer K.; Tilney, Nicholas L.; Crane, Chilton

doi:10.1016/0002-9610(77)90133-7

Cited by 106 publications

(31 citation statements)

References 3 publications

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“…It has been reported that prosthesis use reaches 60 -90% for bilateral TT amputees after intensive clinical rehabilitation (Thornhill et al 1986). For bilateral TF amputees, these percentages are much lower: 0 -40% (Couch et al 1977;Pernot et al 1997). In this study, 72% of bilateral TT and 23% of combination TF and TT amputees were community prosthetic ambulators.…”

Section: Discussionmentioning

confidence: 49%

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Shin¹,

Kim²,

Park³

et al. 2006

Prosthetics &Amp; Orthotics International

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The objectives of this study were to evaluate the clinical features and outcomes of 43 bilateral lower limb amputees. The clinical features obtained included the causes of amputation, level of amputation, concurrent medical problems, and stump condition. Outcome measures were obtained using the activities of daily living (ADL) index, the Frenchay Activities Index (FAI), and mobility grading with prostheses or wheelchair. Of 33 amputees who were prosthetic ambulators, 22 (67%), mainly bilateral trans-tibial (TT) amputees, were community ambulators, and participated in activities which included stair-walking, and six of 11 household ambulators were combination trans-femoral (TF) and TT amputees. Of 10 amputees who were wheelchair ambulators, only one was able to perform wheelchair transfers independently and five were independent wheelchair ambulators. Using the ADL index and FAI, there was no significant difference in scores according to the level of amputation ( p 4 0.05), but the scores of community prosthetic ambulators were significantly higher than those of wheelchair ambulators ( p 5 0.05). Age was found to be negatively correlated with ADL index and FAI scores (r ¼ 70.518 vs. r ¼ 70.550) ( p 5 0.01). This study concludes that overall independence in ADL after bilateral lower limb amputation improved with young age and prosthetic mobility.

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Section: Discussionmentioning

confidence: 49%

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Shin¹,

Kim²,

Park³

et al. 2006

Prosthetics &Amp; Orthotics International

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“…Ambulation rates following BKA have been reported to be anywhere from 16% to 77%. 5,18,26,27 Given this variability in outcomes, patient selection becomes key. For healthy patients who would prefer a high-functioning prosthetic leg to their poorly functioning natural leg, a BKA is probably a more attractive option.…”

Section: Discussion Of Findings and Relevant Literaturementioning

confidence: 99%

“…8 This finding is in contrast to multiple studies that have found the opposite to be true, that previous lower extremity bypass attempts lead to poorer outcomes following subsequent BKA. [11][12][13][14][15][16][17][18][19] Keagy et al reported an 83% BKA healing rate among patients without an ipsilateral vascular bypass and a 73% BKA healing rate among patients with an ipsilateral vascular bypass ( p < 0.001). 20 It is not surprising that these data are conflicting given the confounding variables that are difficult to account for.…”

Section: Clinical Relevancementioning

confidence: 99%

The Below-Knee Amputation: To Amputate or Palliate?

Brown

Attinger

2013

Advances in Wound Care

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“…The peri-operative mortality remains the same despite years of improvement in medical care, in excess of 10% in most studies (10)(11)(12)(13). In this study, the overall mortality was 24.4%.…”

Section: Discussionmentioning

confidence: 99%

Early outcome of vascular lower limb amputations at a National Referral Hospital in Kenya

Ko¹,

Atinga²

2009

Ann Afr Surg.

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BACKGROUND: Majority of lower limb amputations performed in the African setting have been reported to be mainly due to trauma and neoplasms. These affect mainly young and therefore, fit individuals with lower risks of complications. Recent local studies show an increase in the incidence of cardiovascular diseases including peripheral vascular diseases. These are associated with higher rates of both systemic and amputation stump-related complications. There is however little published data in Africa on the outcomes of vascular lower limb amputations. OBJECTIVE:To determine the early outcome of vascular lower limb amputations.

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Natural history of the leg amputee

Cited by 106 publications

References 3 publications

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

The Below-Knee Amputation: To Amputate or Palliate?

Early outcome of vascular lower limb amputations at a National Referral Hospital in Kenya

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