Hakimi Kevin N
Department of Rehabilitation Medicine, University of Washington School of Medicine, Seattle, 98159, USA.
Phys Med Rehabil Clin N Am. 2009 Nov;20(4):677-88. doi: 10.1016/j.pmr.2009.06.015.
Lower-extremity amputation secondary to dysvascular disease, including diabetes and peripheral vascular disease, is a major health problem in the United States. Due to the increased comorbidities in this patient population, pre-operative rehabilitation evaluation by a multidisciplinary team is crucial to ensure optimal patient outcomes. This article discusses the key factors that may affect functional outcomes in this patient population and outlines important history and physical examination components that should be evaluated pre-operatively.
由血管疾病(包括糖尿病和外周血管疾病)导致的下肢截肢是美国的一个主要健康问题。由于该患者群体共病情况增加,多学科团队进行术前康复评估对于确保患者获得最佳治疗效果至关重要。本文讨论了可能影响该患者群体功能预后的关键因素,并概述了术前应评估的重要病史和体格检查内容。