Document Detail

Influencing factors of outcome after lower-limb amputation: a five-year review in a plastic surgical department.
MedLine Citation:
PMID:  18724135     Owner:  NLM     Status:  MEDLINE    
The crude major lower limb amputation procedure rate is 8.8 per 100,000 of the population per year in Taiwan. From January 2002 to October 2006, patients that received major lower limb amputation in our department were enrolled in this study. Retrospective chart reviews concerning different factors that can affect the eventual postoperative functional status were investigated. Factors that affected the length of hospital stay included duration before amputation (P < 0.001) and renal function (P = 0.045). Phantom limb pain was affected by wound healing time (P = 0.006). Factors that affected the daily prosthesis usage time were initial infection status (P = 0.021), renal function (P = 0.01), patient educational level (P = 0.016), and pretraining waiting time (P = 0.003). The duration of prosthetic training was affected by patient educational level (P = 0.004) and marital status (P = 0.024). In addition, subjective satisfaction about the usage of prosthesis was affected by pretraining waiting time (P = 0.001) and daily prosthesis usage time (P < 0.001). The daily prosthesis usage time was closely related to life quality improvement (P < 0.001) and subjective satisfaction of prosthesis usage (P < 0.001). Despite reported unchangeable factors like age, end-stage renal disease, dementia, coronary artery disease, and level of amputation, preprosthesis training waiting time significantly affected the satisfaction and daily usage time of the prosthesis. Surgeons can make some contribution to accelerate amputation wound healing and stump maturation by choosing the correct operating procedure, delicately managing the soft tissue, and ascertaining proper wound care to improve the outcome.
Meng-Chum Chen; Su-Shin Lee; Ya-Lun Hsieh; Shu-Jung Wu; Chung-Sheng Lai; Sin-Daw Lin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of plastic surgery     Volume:  61     ISSN:  1536-3708     ISO Abbreviation:  Ann Plast Surg     Publication Date:  2008 Sep 
Date Detail:
Created Date:  2008-08-25     Completed Date:  2008-10-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7805336     Medline TA:  Ann Plast Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  314-8     Citation Subset:  IM    
Department of Nursing, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
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MeSH Terms
Aged, 80 and over
Amputation / rehabilitation*,  statistics & numerical data*
Amputation Stumps / surgery
Artificial Limbs / utilization*
Diabetic Foot / surgery
Leg / surgery
Length of Stay
Marital Status
Middle Aged
Patient Education as Topic
Patient Satisfaction
Phantom Limb / epidemiology,  rehabilitation
Retrospective Studies
Social Support
Thrombophlebitis / surgery
Treatment Outcome
Wound Healing

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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