Article

OBJECTIVE: To ascertain the long-term outcome for individuals found to have fluid
collections in residual limbs after amputation. DESIGN:
Prospective cohort study.
SETTING: Outpatient follow-up at a prosthetic rehabilitation unit. PARTICIPANTS:
Successive lower limb amputations (N=105) scanned for fluid collections after
operation and followed up after 3 years. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Survival; secondary outcomes of prosthetic limb use, hours of
prosthetic limb-wearing, anxiety and depression levels. RESULTS: After 3 years,
70 individuals were alive, of whom 21 (30%) had fluid collections originally.
There was no significant difference at follow-up between the group that had fluid
collections in their residual limbs after surgery and the group that did not in
terms of survival (chi(2)(1)=.21, P=.64), numbers wearing prosthetic limb
(chi(2)(1)=.102, P=.75), hours of limb wearing (t(37)=.35, P=.72), anxiety
(chi(2)(1)=.77, P=.78), and depression (chi(2)(1)=1.98, P=.16). A multivariable
logistic regression confirmed that presence of fluid collection was not
associated with survival. CONCLUSIONS: Fluid collections in residual limbs after
amputation are common, but patients can be reassured that their long-term
outcomes are not affected.
CI - Copyright (c) 2012 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS