FW: [OANDP-L] Bilateral transtibia amputees

FW: [OANDP-L] Bilateral transtibia amputees

Rick

2/4/2005

Dear List,

 

I have received five e-mails concerning my question about bilateral
transtibial success rates. I really appreciate all the responses I have
received to date. Four of the responses gave me the clinical success the
sender had with their respective patients. The last is an article I just
received and hope all will benefit from the information contained in the
article.

 

Thanks again to everyone who responded to my request.

Rick Stapleton, CP
  

 

Hi Rick,

I think this article is of interest for your regarding your question
about bilateral amputation.

The Journal of Bone and Joint Surgery, Vol 65, Issue 5 599-605,
Copyright © 1983 by Journal of Bone and Joint Surgery, Inc


  _____

 



JOURNAL ARTICLE


Ambulation levels of bilateral lower-extremity amputees. Analysis of one
hundred and three cases


LJ Volpicelli, RB Chambers and FW Wagner

One hundred and three bilateral lower-extremity amputees were evaluated
to determine their eventual ambulation level. Of thirty-eight bilateral
above-the-knee amputees, two with traumatic amputation were
prosthetically rehabilitated, while none of the thirty-five with
dysvascular amputation were so rehabilitated. Twenty-two of the
dysvascular above-the-knee amputees were wheelchair ambulators and
thirteen were bedridden. Prosthetic rehabilitation has been successful
for traumatic bilateral above-the-knee amputees but has never been
successful for our dysvascular bilateral above-the-knee amputees. The
goal for dysvascular bilateral above-the-knee amputees is wheelchair
ambulation. Of twenty-one patients with combinations of above-the-knee
and below-the-knee amputations, five were prosthetically rehabilitated,
including four dysvascular amputees; ten were wheelchair ambulators; and
six were bedridden. Of forty-four patients with bilateral below-the-knee
amputation, thirty-five were prosthetically rehabilitated and the
remaining nine were wheelchair ambulators. Since the success rate for
prosthetic rehabilitation is higher for amputees with combination
above-the-knee and below-the-knee amputation than for those with
bilateral above-the-knee amputation, and again increases for those with
bilateral below-the-knee amputation, the significance of preserving the
knee joint, even a single knee, cannot be overemphasized.

 

Best regards

Anton Johannesson, CPO

Secretary ISPO-Sweden

 

 

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Ämne: [OANDP-L] Bilateral transtibia amputees

 

Dear List,

 

I am looking for information (statistical data) on the success rate of

bilateral transtibial amputees (over the age of 60). The success rate

being: Limited to full community ambulation, daily wearing (minimum 6

hours.), and independent completion of ADL's. What percentage of

bilateral transtibial amputees graduate from walker to canes for

ambulatory aids? What percentage ends up using wheelchairs a majority of

their time?

 

Rick Stapleton, CP

President

Tidewater Prosthetic Center, Inc.

150 Burnett's Way, Ste. 300

Suffolk, VA 23434

Ph: 757-925-4844

Fax: 757-925-4973