Abstract
Objective: To analyse the epidemiological profile of patients undergoing transtibial amputation (TTA) of the lower limb, including the prosthetic fitting rate, the degree of patient satisfaction, and postoperative complications. Methods: This retrospective study was designed to analyse the epidemiological profile of patients undergoing TTA from 2012 through 2016. Prosthetic fitting rate, degree of satisfaction, and postoperative complications were analysed. Results: The sample included 68 patients, of whom 42 were male (62.7%), with a mean age of 50.3 years. Of the participants, 61.2% had finished elementary school only, and 46.2% were white. The most common reason for amputation was chronic osteomyelitis, which was present in 53.7% of participants. A prosthesis was fitted in 89.6% of patients, with most (78.3%) adapting to it well. Of the participants, 40.3% experienced postoperative complications, and mortality was 21.9%. Regarding satisfaction, 76.1% of patients were not satisfied with the surgical outcome. Conclusion: Patients who underwent TTA were most commonly white males of approximately 50 years of age; the most prevalent comorbidities were systemic arterial hypertension and diabetes mellitus, and the most frequent reason for amputation was chronic osteomyelitis. Patient dissatisfaction was significantly associated with age (>60 years old) and depression. The prosthetic fitting rate and adaptation to the prosthesis were directly related to patient satisfaction. Level of Evidence IV; Therapeutic Studies; Case Series.
Highlights
Inicialmente é realizada uma medição do comprimento desejado do coto, tentando-se preservar o maior comprimento possível da perna, e desenhado a incisão na pele, em forma de boca de jacaré
Pessoas com doença cerebrovascular apresentaram 2,5 vezes mais chances de morte em um ano, e com doença renal tiveram 3,53 vezes mais chances
The impact of foot ulceration and amputation on mortality in diabetic patients
Summary
Perfil dos pacientes submetidos à amputação transtibial e os principais desfechos clínicos. RESUMO Objetivo: Avaliar o perfil epidemiológico dos pacientes que foram submetidos à amputação do membro inferior, no nível transtibial, bem como o índice de protetização, o grau de satisfação e as complicações pós-operatórias. Métodos: Foi realizado um estudo retrospectivo para avaliar o perfil epidemiológico dos pacientes submetidos à amputação transtibial, de 2012 a 2016. Resultados: Do total de 68 pacientes submetidos à amputação transtibial (ATT), 42 eram do sexo masculino (62,7%), com uma média de 50,3 anos. Conclusão: A amputação transtibial foi mais comum em homens brancos, com média de idade de 50 anos, tendo como comorbidades mais prevalentes HAS e DM, e etiologia mais comum a osteomielite crônica. A insatisfação foi significativamente relacionada com a idade (>60 anos) e depressão, e o índice de protetização e a adaptação à prótese estiveram diretamente associadas à satisfação do paciente.
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
