Research Article
Year 2019,
, 46 - 51, 14.03.2019
Abstract
Amaç: Alt ekstremitenin kaybı bireylerin ayakta durma, transfer yeteneklerini ve ambulasyonunu etkiler. Bu çalışmanın amacı; alt ekstremite amputasyonu olan ve hastanemize başvuran hastaların klinik ve demografik karakteristiklerini belirlemektir.
Gereç ve Yöntem: Çalışmamız retrospektif bir kohort çalışmasıdır. Çalışmaya Ocak 2012- Mayıs 2013 ayları arasında hastanemize başvuran ve alt ekstremite amputasyonu olan hastalar dahil edildi. Hastaların dosyaları gözden geçirildi, demografik ve klinik karakteristikleri kaydedildi. Tanımlayıcı değişkenler ortalama ve standart sapma (min-max), kategorik değişkenler n (%) olarak verildi. Veriler SPSS 15.0 kullanılarak analiz edildi.
Bulgular: Toplam 836 alt ekstremite amputasyonu olan hastaya ait ortalama yaş 36.12±11.69(9-78)’ idi. Hastaların 770(%92.3)’ü unilateral ampute, 59(%7.1)’i bilateral ampute idi. Amputasyon seviyesine göre değerlendirildiğinde hastaların 456(%54.5)’si unilateral diz üstü amputasyonu, 236(% 28.3)’ü unilateral diz altı amputasyonu idi. Etiyoloji açısından değerlendirdiğimizde; 373(%44.6) hastada trafik kazası, 103(%12.5) hastada iş kazası amputasyon nedenini oluşturuyordu. Hastaların çoğunluğu 456(%54.5) mikroişlemci kontrollü dizüstü protezi ile, takiben 224(%26.7) ise aktif vakum sistemli dizaltı protezi ile ambule idi.
Sonuç: Çalışmamızda amputasyonla başvuran hastalar arasında en yaygın sebebi travma olarak saptamamıza rağmen, bu amputelerin ülkemizdeki genel profilini yansıtmadığını düşünüyoruz. Ancak çalışmamız ampute hastaların demografik ve klinik özelliklerini belirlemek açısından yol gösterici olmuştur. Bu veriler ampute hastaların toplumsal rehabilitasyonu ve yeni protezlerin geliştirilmesi açısından önem arzetmektedir.
References
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- Harvey ZT, Potter PK, Vandersea J et al. Prosthetic Advances. J Surg Orthop Adv 2012; 21(1):58-64.
- www.resmigazete.gov.tr/eskiler/2014/12/20141224-17-9.xls
- Center for Medicare and Medicaid Services. U.S. Department of Health and Human Services: HCFH Common Procedure Coding
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- AlSofyani MA, AlHarthi AS, Farahat FM, Abuznadah WT. Impact of rehabilitation programs on dependency and functional performance of patients with major lower limb amputations. A retrospective chart review in western Saudi Arabia. Saudi Med J 2016;37(10):1109-13.
- Kauzlaric N, Sekelj-Kauzlaric K, Jelic M. Experience in prosthetic Supply of Patients with Lower Limb Amputation in Croatia. Prosthet Orthot Int 2002;26(2):93-10
- Pezzin LE, Dillingham TR, MacKenzie EJ, et al. Use and Satisfaction with Prosthetic Limb Devices and Related Services. Arch Phys Med Rehabil 2004;85:723-9.
- Aydemir K, Demir Y, Güzelküçük Ü, Tezel K, Yilmaz B. Ultrasound Findings of Young and Traumatic Amputees With Lower Extremity Residual Limb Pain in Turkey. Am J Phys Med Rehabil 2017;96(8):572-577
- Yaşar E, Tok F, Kesikburun S et al. Epidemiologic data of trauma-related lower limb amputees: A single center 10-year experience. Injury 2017;48(2):349-352.
- Raichle KA, Hanley MA, Molton I et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev 2008;45(7):961-72.
- Pernot HF, Winnubst GM, Cluitmants JJ, et al. Amputees in Limburg: incidence, morbidity and mortality, prosthetic supply, care utilization and functional level after one year. Prosthet Orthot Int 2000;24(2):90-6.
Year 2019,
, 46 - 51, 14.03.2019
Abstract
Aim: Lower limb loss affects an individual’s ability to stand, transfer, and ambulate. The aim of this study is to assess clinical and demographic characteristics of patients with lower limb amputation.
Materials and Methods: Our study is a retrospective cohort study. 836 patients with lower limb amputation applied to our hospital between January 2012 and May 2013 were included in this study. Demographic and clinical characteristics of patients were reviewed and saved from patient’s folder. Descriptive variables were shown as mean±standard deviation(min–max). And categorical variables were shown as the number of cases (n%).SPSS software Version 15.0 was used in the evaluation of the data.
Results: The mean age of total 836 lower limb amputees was 36.12±11.69 years (9-78). The percentage of unilateral amputation was 770(92.3%) and bilateral lower limb amputation was 59(7.1%). According to the level of amputation, 456(54.5%) of the patients had unilateral above-knee, 236(28.3%) had unilateral below-knee amputation. For etiology, we found that 373(44.6%) of them were traffic accidents, 103(12.5%) occupational accidents. The majority of patients 456(54.5%) were ambulated microprocessor-controlled above-knee prosthesis and then below-knee prosthesis with active vacuum system 224(26.7%).
Conclusion: Although trauma is recognized to be the most common cause of amputation among applying amputees, we think that those amputees do not reflect the general profile in our country but that it is instructive with regard to the features of amputees. This data is important for the community rehabilitation of amputees and the development of new prosthetics.
References
- Kuiken T, Miller L, Lipschutz R and Huang ME. Rehabilitation of People with Lower Amputation. In: Braddom RL. (ed). Physical Medicine & Rehabilitation, 3rd ed. USA: Elsevier Inc; 2007:283-323.
- Lusardi MM, Jorge M, Nielson CC. Orthotics & Prosthetics in Rehabilitation, 3rd ed. St Louis, Missouri: Elsevier Inc; 2013.
- Walsh NE, Bosker G, Maria DS. Upper and Lower Extremity Prostheses. In: Frontera WR (ed. in chief). DeLisa’s Physical Medicine & Rehabilitation: Principles and Practice, 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2010: 2017-50.
- Harvey ZT, Potter PK, Vandersea J et al. Prosthetic Advances. J Surg Orthop Adv 2012; 21(1):58-64.
- www.resmigazete.gov.tr/eskiler/2014/12/20141224-17-9.xls
- Center for Medicare and Medicaid Services. U.S. Department of Health and Human Services: HCFH Common Procedure Coding
- System (HCPCS). Sringfield (VA): U.S. Department of Commerce, National Technical Information Service; 2001. Ossur Americas, Inc. K levels, http://assets.ossur.com/library/31999
- Vaz IM, Roque V, Pimentel S, Rocha A, Duro H. Psychosocial characterization of a Portuguese lower limb amputee population. Acta Med Port 2012;25(2):77-82.
- AlSofyani MA, AlHarthi AS, Farahat FM, Abuznadah WT. Impact of rehabilitation programs on dependency and functional performance of patients with major lower limb amputations. A retrospective chart review in western Saudi Arabia. Saudi Med J 2016;37(10):1109-13.
- Kauzlaric N, Sekelj-Kauzlaric K, Jelic M. Experience in prosthetic Supply of Patients with Lower Limb Amputation in Croatia. Prosthet Orthot Int 2002;26(2):93-10
- Pezzin LE, Dillingham TR, MacKenzie EJ, et al. Use and Satisfaction with Prosthetic Limb Devices and Related Services. Arch Phys Med Rehabil 2004;85:723-9.
- Aydemir K, Demir Y, Güzelküçük Ü, Tezel K, Yilmaz B. Ultrasound Findings of Young and Traumatic Amputees With Lower Extremity Residual Limb Pain in Turkey. Am J Phys Med Rehabil 2017;96(8):572-577
- Yaşar E, Tok F, Kesikburun S et al. Epidemiologic data of trauma-related lower limb amputees: A single center 10-year experience. Injury 2017;48(2):349-352.
- Raichle KA, Hanley MA, Molton I et al. Prosthesis use in persons with lower- and upper-limb amputation. J Rehabil Res Dev 2008;45(7):961-72.
- Pernot HF, Winnubst GM, Cluitmants JJ, et al. Amputees in Limburg: incidence, morbidity and mortality, prosthetic supply, care utilization and functional level after one year. Prosthet Orthot Int 2000;24(2):90-6.
There are 15 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Articles |
| Authors | |
| Publication Date | March 14, 2019 |
| Submission Date | January 17, 2018 |
| Published in Issue | Year 2019 |
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