Outcomes of a standardized surgical and rehabilitation program in transtibial amputation for peripheral vascular disease: a prospective cohort study

American Journal of Physical Medicine & Rehabilitation
Anton JohannessonIsam Atroshi

Abstract

To study the outcomes of a new surgical and rehabilitation program for initial unilateral transtibial amputation in patients with peripheral vascular disease. The program consists of sagittal incision, rigid dressing, compression therapy using silicone liner, and direct manufacturing prosthetic technique. A prospective cohort study with 1-yr follow-up. Of the 217 consecutive patients with peripheral vascular disease who underwent transtibial amputation (mean age, 77 yrs; 51% diabetic; 116 could walk before amputation), 119 (55%) were fitted with a prosthesis at a median time of 41 (range, 12-147) days after amputation. Of the prosthetic recipients, 76 (64%) obtained good function with the prosthesis within 6 mos. Within 1 yr, reamputation was performed on 8.2%, and contralateral amputation was performed on 5.5%. The 90-day mortality was 24% (53 patients). The total 1-yr mortality was 40% (86 patients): 17% among patients who received a prosthesis and 67% among those who did not receive a prosthesis or had undergone reamputation. Following this standardized surgical and rehabilitation program, prosthetic fitting was achieved in more than half of transtibial amputees, almost two-thirds of prosthetic recipients obtained good funct...Continue Reading

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Citations

Sep 9, 2015·Journal of Rehabilitation Research and Development·Jibby E KurichiBarbara E Bates
May 27, 2016·The Journal of International Medical Research·Takaaki Chin, Mitsunori Toda
Jun 18, 2019·The Cochrane Database of Systematic Reviews·Li Khim KwahLisa A Harvey
May 15, 2018·Disability and Rehabilitation·Sarah BowreyJonathan Thompson
Jan 3, 2013·Geriatrics & Gerontology International·Aisling M FleuryNancye M Peel
Nov 13, 2015·Journal of Rehabilitation Research and Development·Linda Resnik, Matthew Borgia
Feb 7, 2016·Prosthetics and Orthotics International·Fiona Davie-SmithBrian Kennon
Jun 12, 2021·BMJ Open Diabetes Research & Care·Rongqi LiuDavid G Armstrong

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