Pernot H F, de Witte L P, Lindeman E, Cluitmans J
Rehabilitation Centre 'Hoensbroeck', The Netherlands.
Clin Rehabil. 1997 May;11(2):93-106. doi: 10.1177/026921559701100202.
The aim of this paper is to review the existing literature on the incidence, morbidity and mortality of lower limb amputation. The functional level of the lower limb amputee and the predictive factors for functioning with a prosthesis are reviewed, both for unilateral and for bilateral amputees. The reported incidence of lower extremity amputation (LEA) varies considerably between different Western countries. The mean survival of LEA patients ranges between two and five years. Assessment of functional outcome is carried out differently. Studies are not comparable and most concern selected groups of amputees. Increasing age, concurrent disease and poor compliance are prognostic factors for a low functional level. For optimal planning of rehabilitation it is necessary to study a complete cohort of amputees with respect to these prognostic factors.
本文旨在综述有关下肢截肢发病率、发病率和死亡率的现有文献。对单侧和双侧截肢者的下肢截肢者功能水平以及假肢功能的预测因素进行了综述。不同西方国家报道的下肢截肢（LEA）发病率差异很大。LEA患者的平均生存期在2至5年之间。功能结局的评估方法各不相同。研究缺乏可比性，且大多数关注特定截肢者群体。年龄增长、并发疾病和依从性差是功能水平低下的预后因素。为了优化康复计划，有必要针对这些预后因素研究完整的截肢者队列。
