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Bone and joint changes in lower limb amputees.

M J Burke, V Roman, V Wright

    Annals of the Rheumatic Diseases
    |June 1, 1978
    PubMed
    Summary
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    Lower limb amputees show increased knee osteoarthrosis on the unamputated side and osteoporosis on the amputated side. Osteoporosis may protect the amputated limb from osteoarthrosis.

    Area of Science:

    • Orthopedics
    • Radiology
    • Clinical Medicine

    Background:

    • Bone and joint changes are common in lower limb amputees.
    • Osteoarthrosis and osteoporosis are prevalent conditions affecting bone health.

    Purpose of the Study:

    • To investigate bone and joint changes in lower limb amputees.
    • To compare osteoarthrosis prevalence between amputated and unamputated limbs.
    • To explore the relationship between osteoporosis and osteoarthrosis in this population.

    Main Methods:

    • Clinical and radiological survey of 42 lower limb amputees.
    • Assessment of bone and joint changes, including osteoarthrosis and osteoporosis.
    • Comparison of findings between amputated and contralateral limbs.

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    Main Results:

    • Significant increase in knee osteoarthrosis on the unamputated leg compared to the amputated side.
    • Characteristic osteoporosis observed on the amputated limb.
    • Backache in 50% of patients, severe in 19%, not linked to disc degeneration.
    • Scoliosis observed in 64% of patients.

    Conclusions:

    • Osteoporosis in the amputated limb may offer a protective effect against osteoarthrosis.
    • Mechanical factors on the contralateral limb might contribute to increased osteoarthrosis.
    • Scoliosis is highly prevalent in lower limb amputees.