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Bariatric amputee: A growing problem?

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Most amputee rehabilitation patients in the UK have documented weights, but many exceed prosthetic limits. Obesity complicates prosthetic provision for lower limb amputees.

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Area of Science:

  • Orthopedics
  • Rehabilitation Medicine
  • Prosthetics Engineering

Background:

  • Reviews the prevalence of overweight and obese patients undergoing lower limb amputation rehabilitation.
  • Focuses on patients with a body mass index (BMI) over 25 within UK disablement services centres.

Purpose of the Study:

  • To review clinical standards for amputee rehabilitation, specifically weight recording and prosthetic prescription.
  • To identify ambulant lower limb amputees with body weight exceeding 100 kg.
  • To ensure lower limb amputees are provided with weight-rated prostheses.

Main Methods:

  • Observational study of clinical practice in seven UK disablement services centres.
  • Data collected from Clinical Information Management Systems.
  • Inclusion criteria: ambulant prosthetic users with recent prosthetic intervention and at least one lower limb amputation.

Main Results:

  • Weight records were maintained for 96% of patients.
  • 86% of patients weighed under 100 kg, the common limit for prosthetic components.
  • 1830 transfemoral and transtibial amputations involved users over 100 kg; 60 cases had prostheses rated below user weight.

Conclusions:

  • Body weight documented for 96% of patients; 97% had prosthetic limb builds within weight limits.
  • Obesity is a growing concern, exacerbating health issues for amputees.
  • Prosthetic component weight limits present challenges for safe and suitable provision for heavier amputees.