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Ronald B. Kihn, MD; Frank L. Golbranson, MD; Robert H. Hutchinson, MD; Wesley S. Moore, MD; Robert F. Premer, MD; Andrew C. Ruoff, MD; Alan G. Smith, MD; James C. Thoroughman, MD; H. Brownell Wheeler, MD; Richard Warren, MD

AMA Arch Surg. 1970;101(1):40-44.

Abstract
A collaborative study by teams in eight Veterans Administration hospitals in 1967 and 1968 of 182 cases of the immediate postoperative prosthetic fitting technique is reported. One hundred and fifty-four (84%) were "rehabilitation successes"; 14 (7%) healed but could not be rehabilitated and 17 (9%) were healing failures, two of whom died (a mortality of 1.1%). Success in both healing and rehabilitation was greater in the patients with good circulation than in the ischemic ones, all 17 healing failures occurring in the 116 below-the-knee amputations (BKs) done for ischemia. Nevertheless, rehabilitation was accomplished in these ischemic BK operations in 91 instances (78%).

Author Affiliations
Washington, DC; Livermore, Calif; Long Beach, Calif; San Francisco; Minneapolis; Salt Lake City; Brooklyn, NY; Atlanta; West Roxbury, Mass; Boston

From the Department of Medicine and Surgery, Veterans Administration Central Office, Washington, DC (Dr. Kihn), and the following VA hospitals: Livermore, Calif (Dr. Golbranson); Long Beach, Calif (Dr. Hutchinson); San Francisco (Dr. Moore); Minneapolis (Dr. Premer); Salt Lake City (Dr. Ruoff); Brooklyn, NY (Dr. Smith); Atlanta (Dr. Thoroughman); West Roxbury, Mass (Dr. Wheeler). Dr. Warren is chief editor of the ARCHIVES.

Footnotes
Accepted for publication March 31, 1970.

Reprint requests to Department of Surgery, Veterans Administration Hospital Allen Park, Detroit (Dr. Kihn).

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