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Lower-limb amputations

T Lääperi1, T Pohjolainen, H Alaranta

  • 1Rehabilitation Unit, Invalid Foundation, Helsinki, Finland.

Annales Chirurgiae Et Gynaecologiae
|January 1, 1993
PubMed
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In 1989, lower-limb amputations in southern Finland primarily affected individuals aged 70 due to vascular disease. Prosthetic fitting rates remained low, though the time to prosthetic fitting decreased.

Area of Science:

  • Epidemiology
  • Vascular Surgery

Background:

  • Lower-limb amputations are a significant surgical procedure with considerable impact on patient mobility and survival.
  • Understanding the epidemiology of these amputations is crucial for healthcare planning and resource allocation.

Purpose of the Study:

  • To analyze the epidemiological situation of lower-limb amputations in southern Finland in 1989.
  • To assess amputation rates, patient demographics, reasons for amputation, and outcomes, including prosthetic fitting.

Main Methods:

  • Retrospective analysis of patient data from southern Finland for the year 1989.
  • Inclusion of data on amputation rates, patient age, underlying causes, amputation levels, survival rates, and prosthetic use.

Main Results:

Related Experiment Videos

  • A total of 268 lower-limb amputations were performed, with an amputation rate of 22.0 per 100,000 inhabitants.
  • Peripheral vascular disease was the primary indication (79%), with above-knee amputations being most common (49%).
  • Survival rates were 64% at one year and 53% at two years. Prosthetic fitting was low (26% above-knee, 63% below-knee) with an average 97-day delay, though incidence and mortality decreased post-1985.

Conclusions:

  • Peripheral vascular disease remains the leading cause of lower-limb amputations.
  • While survival rates are moderate, prosthetic fitting rates are suboptimal, indicating a need for improved rehabilitation strategies.
  • Despite a low rate, the reduced time lag to prosthetic fitting suggests improvements in the post-operative care pathway.