The elderly amputee.

British medical journal 02/1953; 1(4802):153-6.
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    ABSTRACT: Walking speed, stance duration and ground reaction forces were studied with the use of a stable force platform (Kistler) in 24 male transtibial amputees and 12 healthy subjects matched for sex and age. The aim of the study was to compare the gait performance of two groups with unilateral trans-tibial amputations for either vascular disease or trauma and also to compare the results of the two groups with the results of a group of healthy subjects. Multiple linear regression analysis was used to compare the stance duration and the ground reaction forces in relation to walking speed. The vascular and traumatic amputees had significantly reduced walking speeds compared with the healthy subjects, 0.85 +/- 0.2 m/s and 0.99 +/- 0.2 m/s. respectively, as compared to 1.42 +/- 0.2 m/s. By comparing the vascular and traumatic amputees with the healthy subjects in relation to walking speed, it was shown that the gait performance of the vascular amputee differed from that of the traumatic amputee, a difference that was not caused by the reduced walking speed. The active forces during push off on both the healthy (p = 0.02) and the prosthetic leg (p = 0.003) in the trauma group were not found in the vascular group. This disparity could be an effect of the systemic disease. It may be argued that the results of this study contribute to the understanding of the reduced walking ability of the vascular amputee and should be borne in mind when planning rehabilitation.
    Prosthetics and Orthotics International 09/1994; 18(2):68-77. · 0.62 Impact Factor
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    ABSTRACT: Amputation for peripheral ischaemia still has a depressingly high early and late mortality, and morbidity and the end result are usually less than satisfactory. Individual surgeons probably see too few amputees to treat them with maximal efficiency, and these patients create a large burden on beds and resources. There is room for improvement in all aspects of our management of amputees. Primary healing rates might be better with less heroic attempts to obtain a distal amputation. Sepsis is lessened by the use of prophylactic antibiotics. Tight bandaging and the intra-operative fitting of prostheses are undesirable. Simple tests of skin blood pressure may aid prediction of the degree of ischaemia at the proposed level of limb section and the chances of healing. The late mortality is high and merits study of methods designed to reduce it such as long term anticoagulation.
    British Journal of Surgery 10/1976; 63(9):683-90. · 4.84 Impact Factor
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    ABSTRACT: All lower extremities amputations in the county of Aalborg, Denmark, during the period 1961-1971 were analysed. During this 10-year period the amputation rate did not increase. Those requiring amputation were predominantly arteriosclerotics followed by diabetics. The diabetics underwent amputation 3 years younger on average than the arteriosclerotics, but it was more often possible to preserve the knee in diabetics. There was a far higher rate of successful prosthetic fitting among patients in whom the knee had been preserved. Despite a high mortality, also beyond the first postoperative months, prosthetic fitting was of such psychological and social value, that every effort should be made to amr homes. This was the most positive finding in the present study.
    Acta Orthopaedica Scandinavica 07/1976; 47(3):329-34.


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