Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 610-617 , April 2009

Effects of Early Mobilization on Unhealed Dysvascular Transtibial Amputation Stumps: A Clinical Trial

Presented in part to The Internationational Society for Prosthetics and Orthotics, October 12, 2004, York, UK.

  • Ernest R. VanRoss, FRCS, FRCP

      Affiliations

    • Disablement Services Centre, University Hospital of South Manchester NHS Foundation Trust, University of Manchester, Manchester, UK
    • Corresponding Author InformationCorrespondence to Ernest R.E. VanRoss, FRCS, FRCP, Disablement Services Centre, Withington Hospital, Cavendish Road, Manchester M20 1LB, UK
    • ,
  • Sylvia Johnson, RGN

      Affiliations

    • Disablement Services Centre, University Hospital of South Manchester NHS Foundation Trust, University of Manchester, Manchester, UK
    • ,
  • Caroline A. Abbott, BSc, PhD

      Affiliations

    • Disablement Services Centre, University Hospital of South Manchester NHS Foundation Trust, University of Manchester, Manchester, UK
    • Department of Cardiovascular Medicine, School of Clinical and Laboratory Sciences, University of Manchester, Manchester, UK

  • Image Result

    Patient 1, aged 85 years. Left TT amputation12-28-96 for Diabetes/PVD. Mobilization began on January 28, 1997. Wound healing and walking training was completed May 29, 1997. Deceased December 2007. (P

    Patient 1, aged 85 years. Left TT amputation12-28-96 for Diabetes/PVD. Mobilization began on January 28, 1997. Wound healing and walking training was completed May 29, 1997. Deceased December 2007. (Presented with permission).

  • Image Result
    The Pneumatic Post-Amputation Mobility (PPAM) Aid.

    The Pneumatic Post-Amputation Mobility (PPAM) Aid.

  • Image Result
    Patient 2, aged 77 years. Left TT amputation for PVD 8-8-99. Enrolled trial October 8, 1999 TcpO2 20mmHg. Started PPAM aid October 8, 1999. First prosthesis October 22, 1999. On January 24, 2000 TcpO2

    Patient 2, aged 77 years. Left TT amputation for PVD 8-8-99. Enrolled trial October 8, 1999 TcpO2 20mmHg. Started PPAM aid October 8, 1999. First prosthesis October 22, 1999. On January 24, 2000 TcpO2 57mmHg. Revision surgery March 16, 2000. No antibiotics used (except perioperatively). Analgesics: tramadol hydrochloride. Completed wound healing and walking training May 28, 2000. Community walker with 1 stick. Deceased April 2007.

  • Image Result
    Patient 3, aged 52 years. Hypertension induced end stage renal failure on ambulatory peritoneal dialysis. PVD leading to right TT amputation September 21, 2006. Entered trial October 9, 2006 with TcpO

    Patient 3, aged 52 years. Hypertension induced end stage renal failure on ambulatory peritoneal dialysis. PVD leading to right TT amputation September 21, 2006. Entered trial October 9, 2006 with TcpO2 44mmHg. First prosthesis: November 23, 2006. Wound healing and walking training completed February 9, 2007. No antibiotics were used. Currently a community ambulator using 1 stick; awaiting renal transplant.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(09)00074-4

doi: 10.1016/j.apmr.2008.10.026

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 4 , Pages 610-617 , April 2009

Article Tools

* Image Usage & Resolution