|Kanade, Rajani, Van Deursen, Robert William Martin, Burton, Jo, Davies, Vanessa J., Harding, Keith Gordon and Price, Patricia Elaine 2007. Re-amputation occurrence in the diabetic population in South Wales, UK. International Wound Journal 4 (4) , pp. 344-352. 10.1111/j.1742-481X.2007.00313.x|
The incidence of re-amputation following lower extremity amputations (LEA) among the diabetic patients referred to the Artificial Limb and Appliance Centers (ALAC) in South Wales, UK, was investigated. Manual and electronic data-gathering systems were used to extract the medical records of 473 people with various causes of LEA referred to the ALAC in South Wales during 2001–2003. The data included demographic information, causes of amputation and occurrence of various levels of re-amputation. Two hundred and five subjects with diabetes underwent 316 amputations, 44 were foot amputations and 272 major amputations on the ipsilateral and contra-lateral sides. Of the diabetic patients, 45·9% with single LEA underwent re-amputations with 22% incidence of contra-lateral LEA within 2 years. In comparison, 15% underwent re-amputations in the non diabetic dysvascular patients. Ipsilateral re-amputations occurred much earlier (average 21 weeks) compared with the contra-lateral amputations which took an average of 82 weeks following the first amputation. Nearly half of the diabetic patients with single LEA referred for rehabilitation underwent re-amputations within 2 years; out of which 22% of the patients underwent contra-lateral LEA. Although the progression of level of amputations does not follow a particular pattern, re-amputation on the contra-lateral side occurred almost four times later than that on the ipsilateral side.
|Subjects:||R Medicine > R Medicine (General)|
|Uncontrolled Keywords:||Contra-lateral; Diabetes; Lower extremity amputations; Re-amputation; South Wales|
|Last Modified:||13 Feb 2016 22:08|
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