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Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study

Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study. Joseph B. Webster, MD; Kevin N. Hakimi, MD; Rhonda M. Williams, PhD; Aaron P. Turner, PhD; Daniel C. Norvell, PhD; Joseph M. Czerniecki, MD. Aim

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Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study

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  1. Prosthetic fitting, use, and satisfaction following lower-limb amputation: A prospective study Joseph B. Webster, MD; Kevin N. Hakimi, MD; Rhonda M. Williams, PhD; Aaron P. Turner, PhD; Daniel C. Norvell, PhD; Joseph M. Czerniecki, MD

  2. Aim • Describe rate of successful prosthetic fitting over 12 mo. • Describe prosthetic use after amputation. • Determine factors associated with greater prosthetic fitting, function, and satisfaction. • Relevance • Providing satisfactory, functional prosthesis following lower-limb amputation is primary rehabilitation goal.

  3. Methods • Study design: • Multicenter prospective cohort study of individuals undergoing their first major lower-limb amputation because of vascular disease and/or diabetes.

  4. Results • At 4 mo: • Unsuccessful prosthetic fitting associated with depression, prior arterial reconstruction, diabetes, and residual limb pain. • At 12 mo: • 92% of subjects were fitted with prosthetic limb. • Subjects with transfemoral amputation were less likely to be fitted. • Greater functional restrictions associated with: • Older age. • Major depressive episode. • Chronic obstructive pulmonary disease. • Fewer prosthetic walking hours associated with: • Age >55 yr. • Major depressive episode. • Renal dialysis history.

  5. Conclusion • While most individuals achieve successful prosthetic fitting by 1 yr following a first major nontraumatic lower-limb amputation, numerous medical variables and psychosocial factors are associated with prosthetic fitting, utilization, and function.

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