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Related Experiment Videos

Rehabilitation after bilateral lower extremity amputation.

M D Kerstein, H Zimmer, F E Dugdale

    Archives of Physical Medicine and Rehabilitation
    |July 1, 1975
    PubMed
    Summary

    This study followed 44 men with lower extremity amputations, finding that vascular insufficiency was the primary cause. Most patients achieved independence, though rehabilitation took an average of 30 weeks.

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    Area of Science:

    • Rehabilitation Medicine
    • Vascular Surgery
    • Geriatric Medicine

    Background:

    • Lower extremity amputations affect numerous veterans, often due to vascular insufficiency.
    • Rehabilitation outcomes and timelines for patients with bilateral amputations require further investigation.

    Purpose of the Study:

    • To assess the rehabilitation outcomes and time to maximum independence for male patients with bilateral lower extremity amputations.
    • To identify factors influencing rehabilitation success in this population.

    Main Methods:

    • A retrospective study of 44 male patients with bilateral lower extremity amputations at a Veterans Administration hospital.
    • Data collected on amputation level, etiology, comorbidities (including diabetes mellitus), and rehabilitation outcomes.

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    Main Results:

    • Vascular insufficiency was the most common reason for amputation (n=44).
    • Bilateral below-knee amputations were performed in 26 patients.
    • Diabetes mellitus was present in 26 patients but severely impacted rehabilitation in only four.
    • Nearly 65% (29 of 44) of patients achieved total independence in daily functions.
    • The average time to maximum rehabilitation was approximately 30 weeks.

    Conclusions:

    • A significant majority of men with bilateral lower extremity amputations can achieve functional independence.
    • Vascular insufficiency is a leading cause, but diabetes does not universally impede rehabilitation.
    • Rehabilitation for these patients is a lengthy process, averaging 30 weeks for maximum recovery.