Pasquina PF, Bryant PR, Huang ME, Roberts TL, Nelson VS, Flood KM. Advances in amputee care.
This self-directed learning module highlights the recent innovations in amputee care. It is part of the study guide on limb deficiency in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This focused review article describes the key elements of a successful comprehensive amputee program, the basic surgical considerations for upper- and lower-extremity amputation, and some of the more recent advances in prosthetic components. Further, an update is given on issues such as hand transplantation and the integration of robotics and artificial muscles for people with limb loss.
Overall Article Objective
(a) To discuss current issues and advances in the care of patients with amputation, (b) to describe the key elements in designing a comprehensive amputee care program, and (c) to discuss surgical considerations of limb preservation and amputation levels.
aPhysical Medicine and Rehabilitation Service, Walter Reed Army Medical Center, Washington, DC
bGood Shepherd Rehabilitation Hospitals, Allentown, PA
cDepartment of Physical Medicine and Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL
dPhysical Medicine and Rehabilitation, George E. Wahlen Department of Veterans Affairs Medical Center, Salt Lake City, UT
eDepartment of Physical Medicine and Rehabilitation, University of Michigan Medical School, Ann Arbor, MI
fPhysical Medicine and Rehabilitation Program, Veterans Affairs Pittsburgh Healthcare System, Pittsburgh, PA
Reprint requests to Paul F. Pasquina, MD, Physical Medicine & Rehabilitation, Bldg 2, Section 3J, Walter Reed Army Medical Center, 6900 Georgia Ave, Washington, DC 20307
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
ABSTRACT