Prosthetic use and functional and social outcome following major lower limb amputation

Prosthetic use and functional and social outcome following major lower limb amputation
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下肢大截肢术后假肢的使用以及功能和社会结果

DOI:
10.3109/03093649009080326
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发表时间:
1990
影响因子:
1.5
通讯作者:
M. Kärkäinen
M. Kärkäinen
中科院分区:
医学4区
文献类型:
--
作者:
T. Pohjolainen;H. Alaranta;M. Kärkäinen

文献摘要

被引文献

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从32家医院连续175名膝下和膝上截肢者被送到赫尔辛基假肢车间进行假肢装配,以确定他们的功能性截肢和社会适应。患者的平均年龄为62.2岁,在假肢安装时。术后第一年死亡率为11%(19)。通过个人联系获得了141例存活患者(90%)的术后1年信息。在审查时,68%的已安装假肢的截肢者(96名患者)广泛和经常使用假肢,一半的膝上截肢者和79%的膝下截肢者全天或每天使用假肢超过7小时。72%的膝上截肢者(33/ 46)和85%的膝下截肢者(67/ 79)至少在室内有有用的假肢。在接触的141名患者中,124名(88%)住在自己家里。其余16例(11%)住在老年公寓或老人院,共有48例(34%)截肢者需要定期的家庭帮助。
A total of 175 consecutive below and above-knee amputees sent to the prosthetic workshop in Helsinki for prosthetic fitting from 32 hospitals were reviewed to determine their functional ambulation and social adaptation. The average age of the patients was 62.2 years at the time of the prosthetic fitting. The mortality was 11% (19) during the first postoperative year. One-year postoperative information was obtained for 141 of the surviving patients (90%) by personal contact. At the time of the review, 68% of the amputees (96 patients) who had been fitted with a prosthesis made extensive and regular use of it. Half of all the above-knee amputees and 79% of the below-knee amputees used their prosthesis throughout the day or over seven hours a day. A total of 72% of the above-knee amputees (33/ 46) and 85% of the below-knee amputees (67/ 79) had useful ambulation, at least indoors. Of the 141 patients contacted, 124 (88%) lived in their own homes. The remaining 16 patients (11%) lived in apartment houses for the aged or old people's homes, A total of 48 amputees (34%) needed a regular home help.