Greitemann B, Baumgartner R
Klinik und Poliklinik für Technische Orthopädie und Rehabilitation, Westfälische Wilhelms-Universität Münster.
Orthopade. 1994 Feb;23(1):80-7.
The incidence of amputation rises dramatically in old age. Trauma and tumors are uncommon reasons in this age group, however; 90% of amputations in such patients are performed for occlusive disease. These patients are distinguished from all other amputees by their multiple morbidity, which must be borne in mind at all stages, from the decision to operate to rehabilitation. This paper briefly indicates the points that are important for an optimal result of rehabilitation, starting with selection of the amputation level and extending through to provision of the prosthesis and mobilization. The paper ends with a presentation and discussion of the results of rehabilitation in 90 patients aged over 70.
截肢发生率在老年人群中急剧上升。然而，创伤和肿瘤并非该年龄组截肢的常见原因；此类患者90%的截肢手术是因闭塞性疾病而进行的。这些患者与所有其他截肢者的区别在于其多种疾病并存，从手术决策到康复的各个阶段都必须牢记这一点。本文简要指出了从截肢水平的选择开始，到假肢的提供和活动能力恢复，对实现最佳康复效果至关重要的要点。本文最后展示并讨论了90例70岁以上患者的康复结果。
