scholarly journals LEA 36. Poor Mobility, Lack of Statin Use, and Socioeconomic Deprivation Is Associated With Worse Survival After a Major Lower Limb Amputation: A 10-year Prospective Study From a Rehabilitation Center

2019 ◽  
Vol 70 (5) ◽  
pp. e129-e130
Author(s):  
Arsalan Wafi ◽  
Luis Ribeiro ◽  
Kate Stenson ◽  
Paul Moxey ◽  
Vijay Kolli ◽  
...  
2012 ◽  
Vol 49 (10) ◽  
pp. 1493 ◽  
Author(s):  
Joseph B. Webster ◽  
Kevin N. Hakimi ◽  
Rhonda M. Williams ◽  
Aaron P. Turner ◽  
Daniel C. Norvell ◽  
...  

2020 ◽  
Vol 27 (1) ◽  
Author(s):  
Marina Portugal Makhoul ◽  
Kelly de Jesus Santana ◽  
Uleida de Brito Lima Lopes ◽  
Nádia Baggio Barreto Rodrigues ◽  
Christina de Farias Dell’Aglio ◽  
...  

Objectives: To estimate the prevalence of dual motor disability and to identify social, demographic, clinical and rehabilitation-related characteristics. Methods: Retrospective descriptive study in an outpatient rehabilitation center with individuals with dual motor disability from major lower limb amputation associated to post-stroke hemiparesis. Social demographic, clinical and rehabilitation characteristics data were collected from medical record. Results: The prevalence of dual motor disability was 5.4%. Seventy-six subjects were evaluated, 69.7% were male, with a mean age of 65.6 ± 9.3 years. Hypertension was present in 96.1% of subjects, and 25% were smokers. Over 73% of patients had had the stroke prior to amputation. Time elapsed between lesions had a median of 23 months, and sequelae were ipsilateral in 51.3% of patients. Of these, 54 patients (71%) were referred to physical therapy. The time interval between dual disability and the beginning of therapy was 28 months, with total rehabilitation time of 14.3 months. At rehabilitation completion, 36% achieved their goals but 30% were discharges consequent to lack of compliance. Conclusion: The prevalence of dual motor disability due to hemiparesis secondary to stroke and lower limb amputation in a rehabilitation center was 5.4%. Our population showed singular characteristics related to the rehabilitation process, such as a long time between the occurrence of dual disability and the beginning of rehabilitation, and long rehabilitation period.


2009 ◽  
Vol 23 (11) ◽  
pp. 1044-1050 ◽  
Author(s):  
Jennifer Unwin ◽  
Lynn Kacperek ◽  
Chris Clarke

2004 ◽  
Vol 28 (1) ◽  
pp. 9-21 ◽  
Author(s):  
A. Johannesson ◽  
G. U. Larsson ◽  
T. Öberg

In this prospective study, the overall treatment and outcome of patients that underwent major lower limb amputation in a defined population is described. The study was performed over a five year period in the Health Care District of North-East Skåne, Sweden. Some 190 patients, permanent inhabitants of the Health Care District, underwent major lower limb amputation. Sixteen (16) of these patients had amputations before the study started and went through late second leg amputation during the period. One hundred and seventy four (174) patients had primary major amputation. Seventy nine (79) were men and 95 were women, with a median age of 81. The re-amputation rate was 17% although the primary knee preservation ratio was as high as 3.0:1. Rigid dressing was the standard method following trans-tibial amputation and was used for 5–7 days. ICEROSS∗ silicone liner was used for compression therapy in 90% of all cases that resulted in delivery of a prosthesis. Prostheses were delivered to 43% of all patients with primary amputations. These patients spent a median of 13 days at the orthopaedic clinic, 55 days at the rehabilitation unit. Pressure casting was used as a standard method in the production of the prosthetic socket. ICEX∗ carbon-fibre socket was used in 52%. New procedures, treatments and techniques were introduced, standardised and evaluated whilst the routines in the hospital were reorganised. In this way, a system has been implemented that better guarantees the outcome of the whole procedure and the service received by this category of patients.


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