Lucke C, Kleff G A
Leitender Arzt des Hagenhofs, Klinik für Rehabilitation, Langenhagen.
Z Gerontol. 1988 Nov-Dec;21(6):320-6.
We report on 162 patients with one- or two-sided amputations above the ankle joint. Seventy-nine percent of these patients were candidates for artificial limbs; substantial differences are shown in respect to the height of the amputation: there are considerably more patients who can use a prosthesis after a lower leg amputation than after one- or two-sided upper leg amputation. Counterindications for prostheses were, on the whole, principally arterial scleroses. As expected, almost 95% of the one-side amputees, and approximately 100% of the (considerably younger) both-side amputees were discharged from hospital with a degree of self-sufficiency. Some of the patients not provided with an artificial limb were able to return home as well (87.5%). Absolute independence was seldom reached and social assistance had to be arranged for many amputees.
我们报告了162例踝关节以上单侧或双侧截肢患者。这些患者中有79%适合安装假肢；截肢高度方面存在显著差异：小腿截肢后能使用假肢的患者比单侧或双侧大腿截肢后能使用假肢的患者多得多。总体而言，假肢的主要禁忌证是动脉硬化。正如预期的那样，几乎95%的单侧截肢者以及大约100%的（年龄小得多的）双侧截肢者出院时都有一定程度的自理能力。一些未安装假肢的患者也能回家（87.5%）。很少有患者能完全独立，许多截肢者不得不安排社会援助。
