Analysis of prognostic factors for locomotion in patients after amputation of the tibia performed due to atherosclerotic critical limb ischemia
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2005, Vol 7, Issue 4
Abstract
Background. Our study aimed to analyze retrospectively the locomotion performance in patients following below-the-knee amputation (BKA) for atherosclerotic critical limb ischaemia (CLI) in relation to factors which may influence the final outcome.Material and methods. Two groups of patients were analyzed: Group I (n = 53), which underwent fitting of prosthesis and rehabilitation immediately after healing of the stump („early prosthesising”), and Group II (n = 45), in whom prosthesis fitting and rehabilitation were begun after some time spent on a waiting list (from amputation to admission for rehabilitation). Eight parameters which, according to the authors' experience, may influence the effect of prosthesis fitting and rehabilitation in respect to locomotion possibilities were analyzed using survival curves and Cox multi-variant analysis.Results. In Group I the outcome was judged good or very good in over half of the patients (56.9%), while in Group II the respective results did not reach one-third (28.8%). It was demonstrated that early prosthesis fitting and rehabilitation increase more than four-fold the chance to achieve very good or good locomotion performance and shortens two-fold the time needed to reach this goal. Conclusions. The most important factors slowing the recovery of ambulatory functions are: delay in fitting the prosthesis, knee joint flexion contracture of the amputated limb, and concomitant diseases resulting from the generalized character of atherosclerosis.
Authors and Affiliations
Krzysztof Wasiak
Keywords
Related Articles
- EP ID EP56278
- DOI -
- Views 132
- Downloads 0
Traumatic cartilage lesions of the knee in the own material
Background. The knee joint cartilage is vulnerable to traumatic injury, which may lead to osteoarthritis and may result in restrictions of normal knee function and negatively influence the physical activity. The purpose...
Diagnostyka TK kręgoszczeliny lędźwiowej
Wstęp. Dolegliwości bólowe kręgosłupa lędźwiowego są głównym powodem ograniczenia sprawności ruchowej. Celem pracy jest ocena zmian występujących w obrębie lędźwiowego odcinka kręgosłupa u pacjentów z kręgoszczeliną w ba...
Long-term outcome of early treatment of developmental hip dysplasia using an abduction splint
Background. Treatment of congenital hip dysplasia, when implemented in the first weeks of life, gives a good outcome. Very few publications, however, have addressed the anatomical remodeling of the affected hip. In this...
Outcome in the arthroscopic treatment of synovial chondromatosis of the knee
Background. Synovial osteochondromatosis is a disease in which loose cartilaginous bodies develop around large joints, usually the knee. It is caused by synovial metaplasia of unknown etiology. Symptoms are due either to...
Weryfikacja ryzyka złamania ocenionego metodą FRAX u pacjentów z rejonu Krakowa na podstawie 11 letniej obserwacji
Wstęp. FRAX jest algorytmem zaakceptowanym przez WHO do oceny ryzyka złamania osteoporotycznego u kobiet po 40 r.ż. Celem pracy była weryfikacja ryzyka złamania metodą FRAX w populacji kobiet z regionu Krakowa na podstaw...