The Immediate Postoperative Prosthesis in Lower Extremity Amputations

Ronald B. Kihn, MD; Frank L. Golbranson, MD; Robert H. Hutchinson, MD; Wesley S. Moore, MD; Robert F. Premer, MD; Andrew C. Ruoff, MD; Alan G. Smith, MD; James C. Thoroughman, MD; H. Brownell Wheeler, MD; Richard Warren, MD
Arch Surg. 1970;101(1):40-44. doi:10.1001/archsurg.1970.01340250042010.
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A collaborative study by teams in eight Veterans Administration hospitals in 1967 and 1968 of 182 cases of the immediate postoperative prosthetic fitting technique is reported. One hundred and fifty-four (84%) were "rehabilitation successes"; 14 (7%) healed but could not be rehabilitated and 17 (9%) were healing failures, two of whom died (a mortality of 1.1%). Success in both healing and rehabilitation was greater in the patients with good circulation than in the ischemic ones, all 17 healing failures occurring in the 116 below-the-knee amputations (BKs) done for ischemia. Nevertheless, rehabilitation was accomplished in these ischemic BK operations in 91 instances (78%).


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