The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation

Fiona Davie-Smith, Lorna Paul, Natalie Nicholls, Wesley P Stuart, Brian Kennon

    Research output: Contribution to journalArticle

    Abstract

    Background: Diabetes Mellitus (DM) is a leading cause of major lower extremity amputation (LEA).
    Objective: To examine the influence of gender, level of amputation and DM status on being fit with a prosthetic limb following LEA.
    Study Design: Retrospective analysis of the SPARG dataset.
    Results: Within the cohort (n=1735) 64% were men (n=1112) and 48% (n=834) had DM. Those with DM were younger than those without: mean 67.5 years and 71.1 years respectively (plt;0.001). Trans-Tibial Amputation (TTA): Trans-Femoral Amputation (TFA) ratio was 2.33 in those with DM, and 0.93 in those without. 41% of those with DM were successfully fit with a prosthetic limb compared to 38% of those without DM. Male gender positively predicted fitting with a prosthetic limb at both TTA (p=0.001) and TFA (p=0.001) levels. Bilateral amputations and increasing age were negative predictors of fitting with a prosthetic limb (plt;0.001). DM negatively predicted fitting with a prosthetic limb at TFA level (plt;0.001). Mortality was 17% for the cohort, 22% when the amputation was at TFA level. Conclusion: Those with DM were younger, with more TTA, both are good predictors of fitting with a prosthetic limb, despite this, successful limb fit rates were no better than those without DM.
    Original languageEnglish
    Pages (from-to)19-25
    Number of pages7
    JournalProsthetics and Orthotics International
    Volume41
    Issue number1
    DOIs
    Publication statusPublished - 15 Feb 2015

    Keywords

    • diabetes
    • prosthetics
    • rehabilitation

    Fingerprint Dive into the research topics of 'The impact of gender, level of amputation and diabetes on prosthetic fit rates following major lower extremity amputation'. Together they form a unique fingerprint.

  • Cite this