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Published on: May 8, 2014
Review of function in bilateral lower limb amputees
Summary
Physicians can be more optimistic about prostheses and rehabilitation for individuals with bilateral lower limb amputation. Despite challenges like wheelchair use and reduced independence, many patients continue prosthetic use after amputation.
Area of Science:
- Rehabilitation Medicine
- Orthopedic Surgery
- Prosthetics
Background:
- Bilateral lower limb amputation presents unique challenges for patient mobility and independence.
- Understanding long-term outcomes is crucial for optimizing care pathways.
Purpose of the Study:
- To review the outcomes of bilateral lower limb amputation.
- To assess the efficacy of prostheses and rehabilitation in this patient population.
Main Methods:
- Retrospective review of 53 individuals with bilateral lower limb amputation.
- Analysis of prosthesis use, mobility aids, and impact on independence and social activities.
Main Results:
- Many patients successfully utilize prostheses even after a second amputation.
- Approximately half of amputees rely on wheelchairs for primary mobility.
- Associated diseases and lack of motivation were identified as barriers to successful rehabilitation.
- A significant number experienced reduced independence and social engagement, necessitating accommodation changes.
- Preference for retaining the knee joint was noted, even in cases of prior unilateral above-knee amputation.
Conclusions:
- Increased optimism regarding prosthetic use and rehabilitation is warranted for bilateral lower limb amputees.
- Addressing comorbidities and motivation is key to improving rehabilitation outcomes.
- Preserving knee joint function is a priority for these patients.
