Hunter G A, Holliday P
Can J Surg. 1978 Mar;21(2):176-8.
A review of the results of bilateral lower limb amputation in 53 individuals indicates that the physician can now be more optimistic when considering the use of prostheses and the value of rehabilitation in patients with bilateral amputation. Many patients continue to use a prosthesis after the second amputation, irrespective of the site of the first. Associated disease and lack of motivation delay successful rehabilitation. About half of the amputees used a wheelchair as a principal aid to mobility. A number of patients found that amputation of the second limb necessitated a change of accommodation, reduced their degree of independence and decreased their social activities. Individuals with bilateral lower limb amputation prefer to retain the knee joint, even if they already have unilateral above-knee amputation.
对53例双侧下肢截肢患者的结果进行回顾表明，在考虑为双侧截肢患者使用假肢及康复价值时，医生现在可以更加乐观。许多患者在第二次截肢后仍继续使用假肢，无论首次截肢的部位在哪里。相关疾病和缺乏积极性会延迟康复的成功。约一半的截肢者将轮椅作为主要的行动辅助工具。一些患者发现，第二次截肢后需要更换住所，降低了他们的独立程度，并减少了社交活动。双侧下肢截肢患者更愿意保留膝关节，即使他们已经有单侧膝上截肢。
