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Published on: July 15, 2009
Use and satisfaction with prosthetic devices among persons with trauma-related amputations: a long-term outcome study
T R Dillingham1, L E Pezzin, E J MacKenzie
1Department of Physical Medicine and Rehabilitation, Johns Hopkins University, Baltimore, Maryland, USA.
American Journal of Physical Medicine & Rehabilitation
|July 28, 2001
Summary
Most trauma amputees use prosthetics, but many are unsatisfied with comfort. Phantom pain and skin issues are common problems impacting prosthetic use and satisfaction.
Area of Science:
- Orthopedics
- Rehabilitation Medicine
- Prosthetics
Background:
- Trauma-related lower limb amputation presents significant challenges for individuals.
- Prosthetic devices are crucial for restoring function and mobility after amputation.
Purpose of the Study:
- To document the utilization, satisfaction levels, and challenges associated with prosthetic devices in individuals with lower limb amputations due to trauma.
- To identify factors influencing prosthetic use and satisfaction in this population.
Main Methods:
- Retrospective cohort study analyzing medical records and follow-up interviews.
- Inclusion criteria: patients with lower limb amputation from trauma, excluding spinal cord injury, traumatic brain injury, or toe amputations.
- Data collected from patients treated at a major trauma center between 1984 and 1994.
Main Results:
- Nearly 95% of trauma amputees used a prosthesis, averaging 80 hours per week.
- Only 43% reported satisfaction with prosthetic comfort; common issues included wounds, skin irritation, and pain.
- Higher Injury Severity Score and phantom pain were associated with lower prosthetic use and satisfaction, respectively.
Conclusions:
- High prosthetic utilization exists among trauma amputees, yet comfort remains a significant concern.
- Phantom pain and residual limb skin problems are prevalent issues affecting the quality of life for amputees.
- Further research and improved prosthetic designs are needed to enhance user satisfaction and address common problems.
