2000
DOI: 10.1016/s1047-9651(18)30118-9
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Postoperative Management of Lower Extremity Amputation

Abstract: Postoperative management of lower extremity amputation continues to evolve with advances in prosthetic technology, surgical technique, and rehabilitation considerations. Almost 50 years ago, the first immediate postoperative prosthesis was conceived, and has been used since with varying degrees of success. More recently, use of the removable rigid dressing combined with aggressive physical therapy has been found to be a safe and cost-effective method of treatment for the new amputee.

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Cited by 7 publications
(5 citation statements)
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“…Additionally, participants rated their LBP as being more bothersome than either phantom pain or residual-limb pain [8]. While phantom sensations and residual-limb pain are commonly addressed in the rehabilitation of the patient with LLA [10][11][12][13], we could find only one reference to treatment of LBP in this population, with Esquenazi and DiGiacomo [10] recommending activities to maintain trunk flexibility.…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, participants rated their LBP as being more bothersome than either phantom pain or residual-limb pain [8]. While phantom sensations and residual-limb pain are commonly addressed in the rehabilitation of the patient with LLA [10][11][12][13], we could find only one reference to treatment of LBP in this population, with Esquenazi and DiGiacomo [10] recommending activities to maintain trunk flexibility.…”
Section: Introductionmentioning
confidence: 99%
“…Primary goals of postoperative management are wound healing, control of oedema and pain and shaping of the stump. 2 Soft dressing and elastic bandage is commonly followed treatment, 4 but poorly wrapped elastic bandages often cause distal oedema of the stump. Rigid dressing with IPOP provides better oedema control, but loosening of the prosthesis demands repeated changes in the prosthesis.…”
Section: Discussionmentioning
confidence: 99%
“…Rigid dressing with IPOP provides better oedema control, but loosening of the prosthesis demands repeated changes in the prosthesis. 4 Shaping of the stump is faster with IPOP, but it limits wound inspection.…”
Section: Discussionmentioning
confidence: 99%
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“…Furthermore, the visual feedback is not as effective as somatosensory feedback. As such, falls are frequent [3] which can cause injury to the surgical site, further delaying the rehabilitation process [4] and increasing costs.…”
Section: Introductionmentioning
confidence: 99%