The problem of the aged amputee.
نویسنده
چکیده
It is well known that the population is ageing not only in this country, but also in many other countries. Morbidity is greater among the older than among the younger members of the population, and there is therefore a high and increasing incidence of those degenerative conditions which result in amputation of a limb or part of a limb. Amputations which may be of the upper or one or both of the lower limbs usually follow degenerative vascular changes, a malignant condition or trauma. In the elderly by far the commonest condition necessitating amputation is gangrene, resulting from arteriosclerosis-including the so-called' diabetic gangrene,' which is most probably also arteriosclerotic in origin. The changes occur much more frequently in the peripheral vessels of the lower limb than in those of the upper limb. This article will not include a detailed discussion of the aetiology and underlying pathology of conditions leading to amputation nor will it describe surgical techniques. It sets out only to prescribe in detail the correct management of the elderly amputee and to emphasise points necessary to his good treatment. It must be accepted therefore at the outset that unless adequate overall and detailed care be undertaken much of the benfit of surgery will be lost, for the final success of the patient rests upon more than surgical skill. Indeed, the actual surgical removal of a limb, essential as it is, may be the simplest part of the treatment. In every case of amputation, however old and/or frail the patient may be, it is important for the surgeon to bear in mind that the stump must be adequate to carry a pylon or prosthesis. A good psychological approach before operation for amputation can do much to reassure. Every amputee following operation needs very careful management, including full rehabilitation as well
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ورودعنوان ژورنال:
- Postgraduate medical journal
دوره 33 383 شماره
صفحات -
تاریخ انتشار 1957