Post-amputation rehabilitation in an emergency crisis: from preoperative to the community.

International Orthopaedics
Didier Demey

Abstract

Losing a limb (or a part of a limb) usually leads to loss of functionality and subsequent disability. This paper aims at pointing out the importance of comprehensive and multidisciplinary care that includes early, direct or indirect, involvement of rehabilitation service providers even in an emergency context. We underline the links between amputation and disability as well as the milestones and main purposes of the rehabilitation process following amputation. We then emphasise the influence that the level of amputation has on functional outcomes. In order for functional outcomes to balance purely medical factors when identifying the best site for amputation in emergency settings where preoperative involvement of a rehabilitation professional is difficult due to limited resources, we enunciate five general rules to be used as guidelines by the medical team in the absence of a rehabilitation service provider. These five rules, remaining general enough to apply to most contexts and patients, still need to be balanced against contextual and personal factors that can only be identified at the time of the amputation. The main expectations of people who undergo surgery are, usually, to remain actors in the society and regain function...Continue Reading

Citations

May 4, 2012·International Orthopaedics·Maurice Hinsenkamp
Aug 1, 2012·International Orthopaedics·Maurice Hinsenkamp
Dec 13, 2012·International Orthopaedics·Savas GunerRecep Dursun
Jul 5, 2013·International Orthopaedics·Maurice Hinsenkamp
Jun 27, 2014·International Orthopaedics·Maurice Hinsenkamp
Jul 18, 2015·International Orthopaedics·Maurice Hinsenkamp

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