Moore T J, Barron J, Hutchinson F, Golden C, Ellis C, Humphries D
Charlotte Rehabilitation Hospital, North Carolina.
Clin Orthop Relat Res. 1989 Jan(238):219-24.
There were 157 patients following major lower extremity amputation who were evaluated to determine functional prosthetic ambulation. Twenty-eight patients were evaluated in the amputee clinic and found not to be candidates for prosthetic fitting. Forty-one patients were fit with a prosthesis but did not become functional prosthetic ambulators. Eighty-eight patients became functional prosthetic ambulators. Of all above-the-knee amputees, 46% became functional prosthetic ambulators. Only 19% of bilateral lower extremity amputees became functional prosthetic ambulators. Of all below-the-knee amputees, 66% became functional ambulators. The presence of coronary artery disease decreased the ambulatory potential in above-the-knee or bilateral amputees but not in below-the-knee amputees. A screening method for elderly, dysvascular amputees should be instituted prior to prosthetic fitting.
对157例接受下肢大截肢手术的患者进行了评估，以确定其功能性假肢行走能力。在截肢者诊所对28例患者进行了评估，发现他们不适合安装假肢。41例患者安装了假肢，但未成为功能性假肢行走者。88例患者成为功能性假肢行走者。在所有膝上截肢者中，46%成为功能性假肢行走者。只有19%的双侧下肢截肢者成为功能性假肢行走者。在所有膝下截肢者中，66%成为功能性行走者。冠状动脉疾病的存在降低了膝上或双侧截肢者的行走潜力，但对膝下截肢者没有影响。在安装假肢之前，应建立一种针对老年血管性截肢患者的筛查方法。
