Health-Related Quality of Life in Patients with Transtibial Amputation and Reconstruction with Bone Bridging of the Distal Tibia and Fibula
| Autor: | Dainius Juknelis, Matthew D. Saltzman, Michael S. Pinzur, Marco Antonio Guedes de Souza Pinto, Fábio Ferreira Batista, Frank Gottschalk |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Arthrodesis Artificial Limbs Walking Frustration Amputation Surgical 03 medical and health sciences 0302 clinical medicine Amputees Surveys and Questionnaires medicine Transtibial amputation Humans Orthopedics and Sports Medicine In patient Fibula Aged Health related quality of life 030222 orthopedics Tibia business.industry 030229 sport sciences Middle Aged Distal tibia Surgery Treatment Outcome Amputation Data Interpretation Statistical Quality of Life Physical therapy business Residual limb Follow-Up Studies |
| Zdroj: | Foot & Ankle International. 27:907-912 |
| ISSN: | 1944-7876 1071-1007 |
| DOI: | 10.1177/107110070602701107 |
| Popis: | Background:Bone-bridging (arthrodesis of the distal tibia and fibula) at the time of transtibial amputation is a controversial operative technique that is anecdotally reported to improve the weightbearing capacity of the residual limb and to decrease residual limb discomfort.Methods:Thirty-two consecutive patients with multiple diagnoses had transtibial amputation with a distal tibial-fibular bone-bridge, all done by a single surgeon (MAP). At an average of 16.3 months after surgery all patients completed the Prosthetics Evaluation Questionnaire (PEQ), a validated outcomes instrument specifically created to evaluate quality of life and functional demands in patients with a lower extremity amputations. Their responses were compared with those of 17 preselected, highly functional transtibial amputees from two academic medical centers who previously had transtibial amputations using a traditional non bone-bridge operative technique; their time since amputation averaged 14.7 years.Results:The “nonselected” consecutive patients with a bone-bridged residual limb scored higher (more favorable) in the Ambulation ( p = 0.037) and Frustration ( p < 0.001) domains of the PEQ and lower (less favorable) in the Appearance ( p = 0.025) subscale. Their scores were similar in the other six domains.Conclusions:Patients of multiple ages with multiple diagnoses who had bone-bridging of the distal tibia and fibula at the time of transtibial amputation had scores on a validated outcomes instrument that were better than or comparable to those of a selected group of highly functional transtibial amputees. The results of this study suggest that bone-bridging at the time of transtibial amputation may enhance patient-perceived functional outcomes. |
| Databáze: | OpenAIRE |
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