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Prosthetic fitting in lower limb amputees.

J S Jensen, T Mandrup-Poulsen, M Krasnik

    Acta Orthopaedica Scandinavica
    |February 1, 1983
    PubMed
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    For lower limb amputations, above-knee (AK) amputation carries a higher in-hospital mortality risk compared to through-knee (TK) and below-knee (BK) amputations. BK and TK amputations also show higher success rates for prosthetic fitting.

    Area of Science:

    • Orthopedics
    • Rehabilitation Medicine
    • Surgical Outcomes

    Background:

    • Lower limb amputations are a significant surgical procedure with varying outcomes.
    • Amputation level (above-knee, through-knee, below-knee) is a critical factor influencing patient prognosis and rehabilitation.
    • Understanding comparative risks and prosthetic fitting success is essential for patient care and resource allocation.

    Purpose of the Study:

    • To analyze and compare in-hospital mortality rates among different lower limb amputation levels.
    • To evaluate the success rates of prosthetic fitting based on the level of amputation.
    • To identify potential disparities in outcomes for patients admitted from home versus other settings.

    Main Methods:

    • Retrospective analysis of 320 patients undergoing lower limb amputations.

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  • Data collected on amputation level (AK, TK, BK), in-hospital mortality, and prosthetic fitting success.
  • Statistical comparison of outcomes between different amputation levels for patients admitted from home.

    • Main Results:

    • In-hospital mortality was 24% for AK amputations, 14% for TK, and 12% for BK among patients admitted from home.
    • Successful prosthetic fitting rates were 41% for AK, 75% for TK, and 70% for BK amputations.
    • A significant portion (21%) of patients were discharged to nursing homes, impacting overall rehabilitation success metrics.

    Conclusions:

    • Above-knee (AK) amputations are associated with significantly higher in-hospital mortality compared to through-knee (TK) and below-knee (BK) amputations.
    • Prosthetic fitting success is notably higher for TK and BK amputations, indicating better functional recovery potential.
    • The level of amputation is a crucial determinant of both immediate survival and long-term functional outcomes following lower limb surgery.