Journals / Acta Orthopaedica et Traumatologica Turcica / 2018 / Cilt: 52 - Sayı: 5

Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study

Pages
348–351
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The findings may be useful to adopt new strategies in planning rehabilitation programs to improve quality of life and health status of patients with war-related lower limb amputation.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation.
📊
Key Findings & Data:Methods: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran.
💡
Conclusion & Impact:The findings may be useful to adopt new strategies in planning rehabilitation programs to improve quality of life and health status of patients with war-related lower limb amputation.
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

Objective: The aim of this study was to document long-term symptoms and functional results following war-related knee disarticulation, trans-femoral amputation, and hip disarticulation. Methods: An observational cross-sectional study was conducted in a 7-day recreational camp in Iran. One thousand patients with unilateral hip disarticulation, trans-femoral amputation and knee disarticulation due to war-related injuries were invited to undergo a thorough physical examination. Among the invited persons, 58.7% (587 subjects) responded to our invitations. A complete examination related to phantom pain, phantom sensation, stump pain, back pain, and sound limb joints pain with a selfconstructed questionnaire was performed. In addition, Amputee Mobility Predictor (AMP) instrument with a prosthesis was completed to assess the function of patients. Results: The mean duration of time since amputation was 22 years. The most common symptoms reported by participants were phantom sensation (82%), back pain (69%), and phantom pain (63%). In addition, total scores of AMP with a prosthesis in persons with knee disarticulation and trans-femoral amputations were 20.8 and 28, respectively. The knee disarticulation was associated with higher scores of AMP with a prosthesis compared to transfemoral amputation (p < 0.01). Conclusion: The results of this study showed that patients with lower limb amputation suffer from significant clinical and functional problems. The findings may be useful to adopt new strategies in planning rehabilitation programs to improve quality of life and health status of patients with war-related lower limb amputation.

🔖

Cite This Article

ESFANDIARI, E., YAVARİ, A., KARİMİ, A., MASOUMI, M., SOROUSH, M., SAEEDİ, H. (2018). Long-term symptoms and function after war-related lower limb amputation: A national cross-sectional study. Acta Orthopaedica et Traumatologica Turcica, Cilt: 52 - Sayı: 5, 348–351. https://ajindex.com/articles/161168

References (2)

  1. Hiro D. The Longest War: The Iran-Iraq Military Conflict. New York: Routledge; 1991.
  2. Penn-Barwell JG, Roberts SAG, Midwinter MJ, et al. Improved survival in UK combat casualties from Iraq and Afghanistan: 2003e2012. J Trauma Acute Care Surg. 2015;78:1014e1020. Zargar M, Araghizadeh H, Soroush MR, et al. Iranian casualties during the eight years of Iraq-Iran conflict. Rev Saúde Pública. 2007;41:1065e1066. Dougherty PJ. Long-term follow-up of unilateral transfemoral amputees from the Vietnam war. J Trauma Acute Care Surg. 2003;54:718e723. Hafner BJ, Willingham LL, Buell NC, et al. Evaluation of function, performance, and preference as transfemoral amputees transition from mechanical to microprocessor control of the prosthetic knee. Arch Phys Med Rehabil. 2007;88: 207e217. Robbins CB, Vreeman DJ, Sothmann MS, et al. A review of the long-term health outcomes associated with war-related amputation. Mil Med. 2009;174: 588e592. Giummarra MJ, Gibson SJ, Georgiou-Karistianis N, et al. Central mechanisms in phantom limb perception: the past, present and future. Brain Res Rev. 2007;54: 219e232. Bosmans JC, Geertzen JH, Post WJ, et al. Factors associated with phantom limb pain: a 31/2-year prospective study. Clin Rehabil. 2010;24:444e453. Subedi B, Grossberg GT. Phantom limb pain: mechanisms and treatment approaches. Pain Res Treat. 2011;2011:1e8. Aldington D, Small C, Edwards D, et al. A survey of post-amputation pains in serving military personnel. J R Army Med Corps. 2014;160:38e41. Gailey RS, Roach KE, Applegate EB, et al. The amputee mobility predictor: an instrument to assess determinants of the lower-limb amputee's ability to ambulate. Arch Phys Med Rehabil. 2002;83:613e627. Modirian E, Shojaei H, Soroush MR, et al. Phantom pain in bilateral upper limb amputation. Disabil Rehabil. 2009;31:1878e1881. Pohjolainen T. A clinical evaluation of stumps in lower limb amputees. Prosthet Orthot Int. 1991;15:178e184. Rasulic L, Ivanovic S, Bascarevic V, et al. Phantom pain and posttraumatic pain conditions. Acta Chir Iugosl. 2003;51:71e80. Shaikh J, Mohamm A, Varudkar A. Complications and outcome of amputations at tertiary care hospital in Aurangabad district of Maharashtra: an observational study. Trauma. 2015;78:80e82. Dougherty PJ. Transtibial amputees from the Vietnam war. Twenty-eight-year follow-up. J Bone Jt Surg Am. 2001;83:383e389. Ebrahimzadeh MH, Hariri S. Long-term outcomes of unilateral transtibial amputations. Mil Med. 2009;174:593e597. Ebrahimzadeh MH, Fatt