Article

Quality of life is often cited as a key influence in decisions about
partial foot and transtibial amputations despite there being no studies comparing
quality of life in these groups. OBJECTIVES: To compare quality of life in people
with partial foot amputation or transtibial amputation secondary to peripheral
vascular disease and determine factors influencing quality of life in these cohorts. STUDY DESIGN: Cross-sectional. METHODS:
Mail-out, mail-back version of
the SF-36v2 Health Survey and an adapted version of the demographic section of
the Trinity Amputation and Prosthesis Experience Scales-Revised were sent to
people recruited through a large metropolitan hospital. RESULTS: Both the SF-36v2
mental health component summary and physical component summary scores were
comparable in the partial foot amputation (n = 10) and transtibial amputation (n
= 23) cohorts. A multivariate linear regression showed that age, time with
diabetes and the presence of retinopathy significantly influenced either the
SF-36v2 mental health component summary or physical component summary whereas
amputation level did not. DISCUSSION: Results support existing descriptive data
that indicate quality of life is comparable in cohorts with partial foot and
transtibial amputation. CONCLUSION: Our results suggest that quality of life need
not to be a consideration when deciding between partial foot and transtibial
amputation for persons with vascular disease. Surgeons and patients may wish to
focus on other considerations, such as the relative risk of ulceration and
subsequent amputation, when choosing between partial foot and transtibial
amputation. CLINICAL RELEVANCE: The similarity in quality of life between people
with partial foot and transtibial amputation helps inform difficult decisions
about amputation surgery by focusing on surgery that will reduce the risk of
complications and secondary amputation without fear of compromising quality of life.
CI - (c) The International Society for Prosthetics and Orthotics 2015.

Langue : ANGLAIS