Pohjolainen T, Alaranta H, Kärkkäinen M
Invalid Foundation Orthopaedic Hospital, Helsinki, Finland.
Prosthet Orthot Int. 1990 Aug;14(2):75-9. doi: 10.3109/03093649009080326.
A total of 175 consecutive below and above-knee amputees sent to the prosthetic workshop in Helsinki for prosthetic fitting from 32 hospitals were reviewed to determine their functional ambulation and social adaptation. The average age of the patients was 62.2 years at the time of the prosthetic fitting. The mortality was 11% (19) during the first postoperative year. One-year postoperative information was obtained for 141 of the surviving patients (90%) by personal contact. At the time of the review, 68% of the amputees (96 patients) who had been fitted with a prosthesis made extensive and regular use of it. Half of all the above-knee amputees and 79% of the below-knee amputees used their prosthesis throughout the day or over seven hours a day. A total of 72% of the above-knee amputees (33/46) and 85% of the below-knee amputees (67/79) had useful ambulation, at least indoors. Of the 141 patients contacted, 124 (88%) lived in their own homes. The remaining 16 patients (11%) lived in apartment houses for the aged or old people's homes. A total of 48 amputees (34%) needed a regular home help.
对来自32家医院、连续被送往赫尔辛基假肢车间进行假肢装配的175名膝上和膝下截肢患者进行了回顾性研究，以确定他们的功能性行走能力和社会适应情况。假肢装配时患者的平均年龄为62.2岁。术后第一年的死亡率为11%（19例）。通过个人联系，获得了141名存活患者（90%）术后一年的信息。在进行回顾时，68%（96例）已装配假肢的截肢患者广泛且经常使用假肢。所有膝上截肢患者中有一半以及79%的膝下截肢患者全天或每天使用假肢超过7小时。至少在室内，共有72%的膝上截肢患者（33/46）和85%的膝下截肢患者（67/79）具备有效的行走能力。在接受联系的141名患者中，124名（88%）住在自己家中。其余16名患者（11%）住在老年公寓或养老院。共有48名截肢患者（34%）需要定期的家庭护理。
