Related Experiment Videos
Outcomes of a contemporary amputation series
Tao S Lim1, Andrew Finlayson, James M Thorpe
1Department of Vascular Surgery, Royal Perth Hospital, Perth, Western Australia, Australia.
ANZ Journal of Surgery
|June 14, 2006
Summary
Major lower limb amputations in older patients with comorbidities have dismal long-term outcomes. Successful prosthesis rehabilitation requires careful patient selection and a multidisciplinary approach for better results.
Area of Science:
- Vascular Surgery
- Orthopedics
- Rehabilitation Medicine
Background:
- Major lower limb amputations are often performed on elderly patients.
- High prevalence of comorbidities such as diabetes, hypertension, and cardiovascular disease is common in this population.
Purpose of the Study:
- To determine the outcomes of a contemporary series of major lower limb amputations.
- To analyze patient demographics, indications for surgery, and complication rates.
- To evaluate prosthesis rehabilitation success and long-term mortality.
Main Methods:
- Retrospective audit of 87 major lower limb amputations.
- Data collected from January 2000 to December 2002.
- Analysis of patient age, comorbidities, surgical procedures, wound infection, revision rates, prosthesis use, and mortality.
Main Results:
- Mean age was 70.1 years; high rates of diabetes (49.4%), hypertension (77.0%), and ischemic heart disease (58.6%).
- Critical limb ischemia (75.9%) was the main indication; below-knee amputations were most common (58.6%).
- Overall wound infection rate was 26.4%; cumulative 2-year mortality reached 51.7%.
Conclusions:
- Patients undergoing major lower limb amputation are older with significant comorbidities.
- Prosthesis rehabilitation success is linked to patient selection and a multidisciplinary approach.
- Despite low immediate mortality, long-term outcomes of lower limb amputation remain poor.
Related Concept Videos
01:23Peripheral Artery Disease V: Postoperative Nursing Management
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
01:27Peripheral Artery Disease III: Interprofessional Care
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...