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Wound Healing in Older Adults After Major Lower Extremity Amputation.
Ann Vasc Surg
January 2025
Division of Vascular Surgery and Endovascular Therapy, Department of Surgery, Emory University School of Medicine; Surgical and Perioperative Care, Atlanta VA Healthcare System. Electronic address:
Introduction: The higher prevalence of multiple chronic conditions and frailty among older adults may increase the physiologic demand required for wound healing after a major lower extremity amputation (LEA). After below knee amputations (BKA), patients generally have improved prosthetic fitting rates, postoperative ambulation, and quality of life compared to an above knee amputation (AKA). However, the benefit of a BKA must be weighed against the risk of wound complications.
View Article and Find Full Text PDFExperiences of receiving formal psychological support following lower limb amputation: a qualitative study.
Disabil Rehabil
January 2025
School of Health and Medicine, Lancaster University, Lancaster, United Kingdom.
Purpose: This study sought to explore the experiences of receiving formal psychological support following non-vascular-related lower limb amputation.
Materials And Methods: Semi-structured interviews were conducted with five individuals (3 males, 2 females, aged 38-56) with lower limb loss. Two had unilateral above knee amputations, one a unilateral below knee amputation, one a unilateral through-knee amputation, and one had bilateral above knee amputations.
Short-term clinical outcomes of subway-related amputations.
Injury
January 2025
Department of Orthopedic Surgery, NYU Langone Health, New York, NY, USA; Orthopedic Surgery Service, Health+Hospitals/Bellevue, New York, NY, USA. Electronic address:
Introduction: In city hospitals, subway-related traumatic amputations are a frequent pattern of injury, however there is a paucity of literature on this specific injury pattern. The purpose of this study was to describe the epidemiology of subway-related traumatic amputations, as well as compare them to non-subway traumatic amputations.
Patients And Methods: Retrospective review was performed at a single Level-1 trauma center in a metropolitan area.
Bioinspired origami-based soft prosthetic knees.
Nat Commun
December 2024
Department of Advanced Manufacturing and Robotics, College of Engineering, Peking University, Beijing, China.
Prosthetic knees represent a prevalent solution for above-knee amputation rehabilitation. However, satisfying the ambulation requirements of users while achieving their comfort needs in terms of lightweight, bionic, shock-absorbing, and user-centric, remains out of reach. Soft materials seem to provide alternative solutions as their properties are conducive to the comfort aspect.
View Article and Find Full Text PDFExploring UK clinician perceptions of through-knee amputation compared to above-knee amputation: a mixed methods study.
Disabil Rehabil
December 2024
Institute for Clinical and Applied Health Research, Hull York Medical School, University of Hull, Hull, United Kingdom.
Background: Through-knee amputation (TKA) has potential advantages over above-knee amputation (AKA) but is rarely performed in the United Kingdom (UK). This mixed methods study aimed to explore clinicians' perceptions of TKA compared to AKA.
Method: An online survey of vascular surgeons, prosthetists, and physiotherapists between May 2019 and April 2020.
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