Effects of Early Mobilization on Unhealed Dysvascular Transtibial Amputation Stumps: A Clinical Trial

摘要: Abstract VanRoss ER, Johnson S, Abbott CA. Effects of early mobilization on unhealed dysvascular transtibial amputation stumps: a clinical trial. Objective To observe the effects (TT) stump wounds etiology. An "unhealed" was defined as having wound greater than 1cm × at least 3 weeks after surgery. Design observational cohort study. Setting This center receives about 250 new lower-limb amputees year from over 50 surgeons working in 16 hospitals. Over 35% are unhealed. Participants Sixty-six consecutive TT (age 62.8±10.8y) etiology (diabetes 50%) with stumps were recruited. Sixty-one percent current or past smokers. The mean ± SD size 7.7±2.7cm 3.2±2.0cm. Interventions measured, and transcutaneous oxygen (TcpO 2 ) carbon dioxide (TcpCO measured. Wounds debrided dressed by using standard protocol. Mobilization Pneumatic Post-Amputation Mobility (PPAM) Aid for approximately followed provision prosthesis. A physiotherapy walking training program performed. Main Outcome Measures Stump healing, time to achieve resting pressure pre- posttherapy. Results Of 66 amputees, 4 did not start. Sixty-two started; 6 withdrew, 56 completed Complete healing achieved 74% (46/62) 141 (87–270) days. TcpO baseline 41.3±19.8mmHg increased significantly 50.6±21.9mmHg ( P Conclusions Patients large can simultaneously undergo prosthesis healing. Seventy-four subjects full small minority patients who heal smokers whose levels improve throughout Rising associated