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Journal of the Korean Academy of Rehabilitation Medicine 1999;23(5):1039-1045.
Clinical Features and Long-term Outcome of Lower Extremity Amputees: A Follow-up Questionnaire Study in Three Regional Centers.
Kim, Jin Ho , Han, Tai Ryoon , Han, Seung Sang , Yoon, Ki Sung , Lim, Jae Young , Lim, Suk Jin , Choi, Joong Kyung
1Department of Rehabilitation Medicine, Seoul National University College of Medicine.
2Department of Rehabilitation Medicine, Chonnam National University College of Medicine.
3Department of Rehabilitation Medicine, Dong-A University College of Medicine.
4Hwasung Goon Health Center.
하지절단의 임상적 고찰과 하지 절단장애인의 장기적 의지 이용 실태
김진호, 한태륜, 한승상1, 윤기성2, 임재영3, 임석진, 최중경
서울대학교 의과대학 재활의학과교실, 1전남대학교 재활의학과교실, 2동아대학교 재활의학과교실, 3화성군 보건소
Abstract

Objective
To evaluate the clinical features of lower extremity amputees and the process of prosthetic fitting and its use at follow up and to know the effects of prosthetic rehabilitation on adaptation to prosthesis and its long-term use.


Method
One hundred and twenty four patients who underwent amputation surgery in 3 major hospitals in Korea from 1990 to 1997 were enrolled.

They were evaluated by reviewing of medical records for anthropometry, level of amputation, causes of amputation, other coincidental medical problems, general physical states and followed up by telephone and mail questionnaire with respect to general outcome, prosthetic fitting, satisfaction of prosthesis, state of prosthetic use, functional state of prosthetic ambulation.


Results
The most common cause of amputation was trauma. The mean time to fit the prosthesis was 4.1 months and only 38 patients was supervised by rehabilitation programs. The patients who were supervised by rehabilitation program were fitted and able to ambulate significantly earlier than those who were not. They wore and used prosthesis significantly more often than those who were not supervised. The patients with above knee amputation who were supervised were significantly independent with walking aids.


Conclusion
Rehabilitation training program enables amtupees to be fitted and walk earlier with prosthesis. Also, this program lowered the dependency on walking aids in above knee amputees.

Key Words: Lower extremity amputees, Prosthetic use, Questionnaire


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