Effects of Early Mobilization on Unhealed Dysvascular Transtibial Amputation Stumps: A Clinical Trial Ernest R. VanRoss, FRCS, FRCP, Sylvia Johnson,

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Presentation transcript:

Effects of Early Mobilization on Unhealed Dysvascular Transtibial Amputation Stumps: A Clinical Trial Ernest R. VanRoss, FRCS, FRCP, Sylvia Johnson, RGN, Caroline A. Abbott, BSc, PhD Archives of Physical Medicine and Rehabilitation Volume 90, Issue 4, Pages 610-617 (April 2009) DOI: 10.1016/j.apmr.2008.10.026 Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 1 Patient 1, aged 85 years. Left TT amputation12-28-96 for Diabetes/PVD. Mobilization began on January 28, 1997. Wound healing and walking training was completed May 29, 1997. Deceased December 2007. (Presented with permission). Archives of Physical Medicine and Rehabilitation 2009 90, 610-617DOI: (10.1016/j.apmr.2008.10.026) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 2 The Pneumatic Post-Amputation Mobility (PPAM) Aid. Archives of Physical Medicine and Rehabilitation 2009 90, 610-617DOI: (10.1016/j.apmr.2008.10.026) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 3 Patient 2, aged 77 years. Left TT amputation for PVD 8-8-99. Enrolled trial October 8, 1999 TcpO2 20mmHg. Started PPAM aid October 8, 1999. First prosthesis October 22, 1999. On January 24, 2000 TcpO2 57mmHg. Revision surgery March 16, 2000. No antibiotics used (except perioperatively). Analgesics: tramadol hydrochloride. Completed wound healing and walking training May 28, 2000. Community walker with 1 stick. Deceased April 2007. Archives of Physical Medicine and Rehabilitation 2009 90, 610-617DOI: (10.1016/j.apmr.2008.10.026) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions

Fig 4 Patient 3, aged 52 years. Hypertension induced end stage renal failure on ambulatory peritoneal dialysis. PVD leading to right TT amputation September 21, 2006. Entered trial October 9, 2006 with TcpO2 44mmHg. First prosthesis: November 23, 2006. Wound healing and walking training completed February 9, 2007. No antibiotics were used. Currently a community ambulator using 1 stick; awaiting renal transplant. Archives of Physical Medicine and Rehabilitation 2009 90, 610-617DOI: (10.1016/j.apmr.2008.10.026) Copyright © 2009 American Congress of Rehabilitation Medicine Terms and Conditions