Document Detail

Predicting the use of prostheses by vascular amputees.
MedLine Citation:
PMID:  8896478     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To evaluate our accuracy in predicting the use of prostheses by patients undergoing major lower limb amputation. DESIGN: Prospective study, with multiple assessors, "blind" to the predictions made by each other. MATERIALS: Sixty-one patients (35 male: age 51-91, median 79) having their first major lower limb amputation. METHODS: Five members of the rehabilitation team (surgeon, specialist in prosthetics, nurse, physiotherapist and occupational therapist) each recorded predictions of prosthetic use and mobility before amputation and during the first 2 weeks thereafter. Patients were followed up 6-24 months later. RESULTS: At follow-up 17 patients had died. Of the remaining 44 (25 below-knee and 19 above-knee amputees), 23 of 27 (85%) who had been predicted as using prostheses were doing so, while only 11 of 17 (65%) had been correctly predicted as non-users. Nevertheless, only two of the patients not using prostheses contrary to prediction had ever had prostheses made for them, and both had developed problems with the other leg at a later date. Different members of the rehabilitation team were similar in their ability to predict outcome. CONCLUSIONS: Inappropriate fitting of prostheses can be kept to a minimum by a team approach to rehabilitation, but amputees may defy careful prediction by the development of new medical problems.
W B Campbell; B M Ridler
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  12     ISSN:  1078-5884     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  1996 Oct 
Date Detail:
Created Date:  1996-12-04     Completed Date:  1996-12-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  342-5     Citation Subset:  IM    
Department of Surgery, Royal Devon and Exeter Hospital, U.K.
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MeSH Terms
Aged, 80 and over
Amputation / rehabilitation*
Arterial Occlusive Diseases / surgery
Artificial Limbs*
Follow-Up Studies
Knee / surgery
Leg / blood supply,  surgery*
Middle Aged
Patient Care Team
Prospective Studies
Prosthesis Design
Single-Blind Method
Survival Rate
Treatment Outcome

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

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