Walking Ability According to Lower Extremity Amputation Levelin Patients with Chronic Limb-threatening Ischemia

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  • 包括的高度慢性下肢虚血患者における切断部位による歩行能力について
  • ホウカツテキ コウド マンセイ カシキョケツ カンジャ ニ オケル セツダン ブイ ニ ヨル ホコウ ノウリョク ニ ツイテ

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Abstract

 We examined the post-amputation walking ability in 51 of 71 CLTI patients who were admitted to our cardiology department between April 2010 and February 2015 to undergo lower extremity amputation and post-amputation rehabilitation. Medical records were retrospectively reviewed for the following factors: age, comorbidities, the level of amputation, non-weight bearing period, changes in walking ability associated with the amputation level, and isometric knee extension strength of the contralateral leg. Walking ability was preserved in 90%, 100%, 100%, and 71% of the cases of toe, transmetatarsal, Chopart, and below-knee amputation, respectively. Previous studies reported that a higher amputation level results in a greater reduction of walking ability. In our study, the walking preservation rate in patients who underwent lower extremity amputation was superior to that in previous reports at any amputation level. Our study suggested that rehabilitation improves the walking ability preservation rate.

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