Amputation vs Limb Salvage

Amputation vs Limb Salvage PM&R News   •   March 2019 For years amputation was standard of care after severe limb trauma but recently the paradigm has been swinging to limb salvage over amputation. This multicenter, prospective observational study aimed to look at outcomes of amputation vs limb salvage. Over 500 patients were enrolled and the sickness impact profile was used to assess severe disability.   Complication rates and the status of the limb were also evaluated over two years.  At the two year point, there were no significant difference in scores for the sickness impact profile between the two groups and both groups had similar functional [...]

Amputation vs Limb Salvage2019-03-26T22:14:05+00:00

“I just want to walk normally!”

Can you improve his gait? PM&R News   •   March 2018 A 63-year-old male comes from his rural home to your big city practice with a chief complaint of "I just want to walk normally again!". You learn that he had a traumatic tractor accident 5 years ago which resulted in a left below the knee amputation. He was fitted with a transtibial prosthesis but has never really been happy since it was fitted. He received a polycentric hydraulic swing/stance control device but has loss of balance often with heel contact of the prosthetic limb. He often feels he is walking on a tight [...]

“I just want to walk normally!”2018-03-15T19:21:55+00:00