Mobility one year after unilateral lower limb amputation: a modern, UK institutional report

Interactive Cardiovascular and Thoracic Surgery
Narendra Nath BasuAndrew McIrvine

Abstract

The aim of this current retrospective study was to assess postoperative mobility one year after above knee (AKA) or below knee amputation (BKA) in a district general hospital. Data on patient demographics, diabetic status, risks for peripheral vascular disease, mortality and mobility at one year were recorded from the vascular database. Seventy-five patients underwent lower limb amputation over a 70-month period (AKA n=31, BKA n=44). Operative mortality was 10% and mortality at one year 13.7%. Fourteen out of the 31 patients (45.1%) who underwent AKA were mobile independently or with a walking stick compared to 54.5% (24/44) in the BKA group (P=0.44). Fifteen patients (48.3%) were diabetic in the AKA group compared to 26 patients (59.1%) in the BKA group (P=0.49). In the under 60 years group and over 60 years group there was no significant difference in type of amputation (P=0.64) or mobility (P=0.69). In this current series, there was no significant rehabilitation benefits in patients undergoing BKA compared to AKA. With an ageing population who inherently have increasing significant medical problems, the perceived benefit in preserving the knee joint may not be as significant as previously reported.

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Citations

Feb 3, 2012·Interactive Cardiovascular and Thoracic Surgery·Morten Tange KristensenPeter Gebuhr
Nov 26, 2008·Interactive Cardiovascular and Thoracic Surgery·Narcis Hudorovic
Apr 26, 2011·Annals of Vascular Surgery·Mohamed A Elsharawy
Nov 15, 2008·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·L E H Jivegård
Jan 14, 2012·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·K A ArsenaultR P Whitlock
Jul 26, 2014·Journal of Biomechanics·M S Chih-Hao ChienWilliam A Smith
Aug 17, 2018·Prosthetics and Orthotics International·Heather R BattenSuzanne S Kuys
Jan 6, 2015·Australian Health Review : a Publication of the Australian Hospital Association·Heather R BattenJennifer C Nitz
Jan 30, 2021·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Dean H MeshkinKenneth L Fan

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