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Prosthetic use in patients with burns and associated limb amputations
R S Ward1, C Hayes-Lundy, W A Schnebly
1Department of Burn Therapy, University of Utah Health Sciences Center, Salt Lake City.
The Journal of Burn Care & Rehabilitation
|July 1, 1990
Summary
Most burn patients needing limb amputation can successfully use prosthetics. Despite challenges like open wounds and skin grafts on stumps, 73% achieved prosthetic use, demonstrating high potential for functional recovery.
Area of Science:
- Reconstructive surgery
- Rehabilitation medicine
- Burn care
Background:
- Limb amputation is a severe complication of burn injuries.
- Prosthetic use is crucial for functional recovery after amputation.
- Burn-related amputations present unique challenges for prosthetic fitting.
Purpose of the Study:
- To evaluate the success rate of prosthetic use in patients with burn-related limb amputations.
- To identify factors influencing prosthetic fitting and use in this patient population.
Main Methods:
- Retrospective review of 11 patients with burn-related limb amputations.
- Analysis of amputation levels (above/below elbow/knee) and stump conditions (wounds, skin grafts).
- Statistical analysis (Fisher's exact test) to assess the impact of stump characteristics on prosthetic success.
Main Results:
- 91% of patients had open wounds on stumps; 82% required skin grafts.
- Common delays in prosthetic fitting included surgeries, open wounds, and stump breakdown.
- Despite complications, 73% of patients were eventually able to wear prosthetic devices.
- Number/site of amputations and skin grafting did not significantly affect prosthetic success.
Conclusions:
- Most patients with burn-related limb amputations can achieve successful prosthetic use.
- Early and appropriate stump management is essential to overcome challenges.
- Prosthetic rehabilitation should be a key component of care for these patients.