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James M. Malone, MD; Wesley Moore, MD; Joseph M. Leal, CP; Sandee J. Childers

Arch Surg. 1981;116(1):93-98.

Abstract
• The results of rehabilitation for lower-extremity amputation were analyzed to assess the impact of a center that used a coordinated team combined with modern surgical and prosthetic techniques. Data for group 1 patients (amputated between July 1, 1975, and June 30, 1977) demonstrated a healing rate of 63%, a mean rehabilitation time of 128 days, a mean hospitalization time of 68 days, and a rehabilitation rate of 69% for those who could walk prior to amputation. Data for group 2 (amputated between July 1, 1977, and July 30, 1979) demonstrated an amputation healing rate of 97%, an average rehabilitation time of 30.8 days, a mean hospitalization time of 38 days, and a rehabilitation rate of 100% for those patients who could walk before amputation. There was no difference between groups 1 and 2 in surgical mortality; all other variables, however, showed significant improvement for group 2 patients. Comparison within the same institution of the results of rehabilitation for lower-extremity amputation before and after the initiation of a dedicated amputation center clearly demonstrated the superiority of the center concept.

(Arch Surg 116:93-98, 1981)

Author Affiliations
From the Department of Surgery, Arizona Health Sciences Center, Tucson.

Footnotes
Accepted for publication July 15, 1980.

Reprint requests to Department of Surgery, Arizona Health Sciences Center, Tucson, AZ 85724 (Dr Malone).

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