Bilateral Below-the-Knee Amputation in Patients Over Fifty Years of Age

McCollough, Newton C.; Jennings, John J.; Sarmiento, Augusto

doi:10.2106/00004623-197254060-00008

Cited by 15 publications

(7 citation statements)

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“…Approximately half of the amputees required no walking aids at all, and 6 subjects required just one cane. This is comparable with the results of McCollough et al (1972), which reported that about 42% of bilateral lower limb amputees were able to walk with one stick or with no assistance, and had a lower mean age of 58.1 years.…”

Section: Discussionsupporting

confidence: 89%

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Shin¹,

Kim²,

Park³

et al. 2006

Prosthetics &Amp; Orthotics International

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The objectives of this study were to evaluate the clinical features and outcomes of 43 bilateral lower limb amputees. The clinical features obtained included the causes of amputation, level of amputation, concurrent medical problems, and stump condition. Outcome measures were obtained using the activities of daily living (ADL) index, the Frenchay Activities Index (FAI), and mobility grading with prostheses or wheelchair. Of 33 amputees who were prosthetic ambulators, 22 (67%), mainly bilateral trans-tibial (TT) amputees, were community ambulators, and participated in activities which included stair-walking, and six of 11 household ambulators were combination trans-femoral (TF) and TT amputees. Of 10 amputees who were wheelchair ambulators, only one was able to perform wheelchair transfers independently and five were independent wheelchair ambulators. Using the ADL index and FAI, there was no significant difference in scores according to the level of amputation ( p 4 0.05), but the scores of community prosthetic ambulators were significantly higher than those of wheelchair ambulators ( p 5 0.05). Age was found to be negatively correlated with ADL index and FAI scores (r ¼ 70.518 vs. r ¼ 70.550) ( p 5 0.01). This study concludes that overall independence in ADL after bilateral lower limb amputation improved with young age and prosthetic mobility.

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Section: Discussionsupporting

confidence: 89%

Clinical Features and Outcomes Following Bilateral Lower Limb Amputation in Korea

Shin¹,

Kim²,

Park³

et al. 2006

Prosthetics &Amp; Orthotics International

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show abstract

“…McCollough et al, 4 Datta et al, 7 and Hunter and Holliday 8 all found high rates of ambulatory success (87%, 75%, and 66%, respectively) at longterm follow-up, similar to those in our study. Of those who had died in our study, for which data were available, 72% were still walking during the month before death.…”

Section: Discussionsupporting

confidence: 90%

“…This survival time is similar to previous reports of 2.5-5 yrs after amputation in bilateral lower-extremity amputees. 4,6,7,9,10 Evans et al 1 and Inderbitzi et al 11 also have reported a 2-yr survival rate of 60%-62% and a 5-yr survival rate of 31%-40% 1,11 in patients with bilateral lower-extremity amputation of peripheral vascular causes from acute care. A study by Ebskov 17 examined 10,191 lower-extremity amputations and found that the median survival analysis (by Kaplan-Meier analysis) was 2.6 yrs in those patients with unilateral transtibial amputations from diabetic causes.…”

Section: Discussionmentioning

confidence: 96%

“…However, this could be because our population included only those individuals with BTTA, who some argue may fare better than patients with unilateral above-knee amputations. 4 Devlin et al 13 found a significant correlation of the modified Houghton to the physical composite score of the short-form 36 in a mixed patient population with lower-extremity amputation. However, we found no correlation with either the physical or mental composite score of the SF-12 or the FAI in our study population.…”

Section: Discussionmentioning

confidence: 97%

“…Five studies examined 7-24 subjects with bilateral lower-extremity amputations (mostly BTTA) of mixed origins (mostly peripheral vascular disease) at an average of 21 mos to 4.87 yrs after amputation. 4 -8 Three studies have shown good maintenance of prosthetic use (75%-95%), 4,7,8 whereas two studies have shown poorer prosthetic use of 60% 5 and 29%. 6 However, one of these studies examined an older population in a socioeconomic disadvantaged population, 5 and the other study examined only seven patients.…”

Section: Discussionmentioning

confidence: 99%

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