Rehabilitation outcome 5 years after 100 lower limb amputations.

摘要: Received wisdom commends a policy of maximizing the ratio below-knee to above-knee amputations in patients with end-stage arterial disease. After adoption this policy, long-term outcome 100 consecutive lower-limb 96 was monitored by annual review for 5 years. The primary 2:1, 9 per cent undergoing revision higher level. At 2 years after amputation only 26 were successfully walking out doors, while 40 had died. By 67 dead and continued walk doors an artificial limb, although further 8 use limb within confines their own homes. In previous audit 193 performed during 3.5 December 1984, stump healing problem 45 amputations, compared 25 present study. Although below- 1984 1:2, overall rehabilitation rate, as determined proportion able at years, 34 cent. It is concluded that increasing from one-third two-thirds occlusive disease does not improve effective rates. on desirability high may be wrong.