当前位置： SCI文献检索 > PROSTHETICS AND ORTHOTICS INTERNATIONAL期刊下所有文献 > The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation.

The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation.

Abstract：

BACKGROUND:Diabetes mellitus is a leading cause of major lower extremity amputation. OBJECTIVE:To examine the influence of gender, level of amputation and diabetes mellitus status on being fit with a prosthetic limb following lower extremity amputation for peripheral arterial disease. STUDY DESIGN:Retrospective analysis of the Scottish Physiotherapy Amputee Research Group dataset. RESULTS:Within the cohort with peripheral arterial disease ( n = 1735), 64% were men ( n = 1112) and 48% ( n = 834) had diabetes mellitus. Those with diabetes mellitus were younger than those without: mean 67.5 and 71.1 years, respectively ( p < 0.001). Trans-tibial amputation:trans-femoral amputation ratio was 2.33 in those with diabetes mellitus, and 0.93 in those without. A total of 41% of those with diabetes mellitus were successfully fit with a prosthetic limb compared to 38% of those without diabetes mellitus. Male gender positively predicted fitting with a prosthetic limb at both trans-tibial amputation ( p = 0.001) and trans-femoral amputation ( p = 0.001) levels. Bilateral amputations and increasing age were negative predictors of fitting with a prosthetic limb ( p < 0.001). Diabetes mellitus negatively predicted fitting with a prosthetic limb at trans-femoral amputation level ( p < 0.001). Mortality was 17% for the cohort, 22% when the amputation was at trans-femoral amputation level. CONCLUSION:Of those with lower extremity amputation as a result of peripheral arterial disease, those with diabetes mellitus were younger, and more had trans-tibial amputation. Although both age and amputation level are good predictors of fitting with a prosthetic limb, successful limb fit rates were no better than those without diabetes mellitus. Clinical relevance This is of clinical relevance to those who are involved in the decision-making process of prosthetic fitting following major amputation for dysvascular and diabetes aetiologies.

journal_name

Prosthet Orthot Int

journal_title

Prosthetics and orthotics international

authors

Davie-Smith F,Paul L,Nicholls N,Stuart WP,Kennon B

doi

10.1177/0309364616628341

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

19-25

issue

eissn

0309-3646

issn

1746-1553

pii

0309364616628341

journal_volume

pub_type

杂志文章

在线工具

The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation.