Torres M M, Esquenazi A
Moss Rehabilitation Hospital, Philadelphia, PA 19141-3099.
West J Med. 1991 May;154(5):583-6.
We retrospectively reviewed 61 cases of bilateral lower limb amputations in patients admitted to a regional amputee rehabilitation program. Of the 61 cases, 41 were analyzed as to functional outcome on discharge, at 1 month, and at 3 months; 20 were not included owing to transfers to acute care or loss to follow-up. There were 41 men and 20 women, the average age was 61.5 years, and 47 patients (77%) were discharged to home. There were 25 bilateral below-knee, 14 above-knee and below-knee, 12 bilateral above-knee, 5 below-knee and partial-foot, 3 above-knee and partial-foot, and 2 bilateral partial-foot amputations. The average length of stay for all levels was 24.2 days. Most of the patients at the time of discharge achieved a level of limited household walking with the exception of those with bilateral above-knee amputations. A significant improvement in function was noted for all patients at 3-month follow-up, with most patients achieving household ambulation level, but 10 remained independent at wheelchair level for mobility.
我们回顾性研究了61例入住地区截肢者康复项目的双侧下肢截肢患者。在这61例病例中，41例在出院时、1个月时和3个月时进行了功能结果分析；20例因转至急症护理或失访而未纳入分析。其中男性41例，女性20例，平均年龄61.5岁，47例患者（77%）出院回家。有25例双侧膝下截肢、14例膝上和膝下截肢、12例双侧膝上截肢、5例膝下和部分足部截肢、3例膝上和部分足部截肢以及2例双侧部分足部截肢。所有截肢水平患者的平均住院时间为24.2天。除双侧膝上截肢患者外，大多数患者出院时达到了有限的家庭行走水平。在3个月随访时，所有患者的功能均有显著改善，大多数患者达到了家庭行走水平，但仍有10例患者在轮椅移动方面保持独立。
