Due to recent improvements in prosthetic limb componentry, through-the-knee (knee disarticulation) amputation has gained new interest for rehabilitation-minded amputation surgeons. Recent objective scientific studies from our gait analysis laboratory have described the walking characteristics of peripheral vascular insufficiency through-knee amputees, and have compared their function with simil...

BACKGROUND Diabetes mellitus-related lower extremity amputation is a major complication severely affecting patient survival and quality of life. OBJECTIVES To analyze epidemiological and clinical trends in the incidence and survival of lower extremity amputations among diabetes patients. METHODS We conducted a retrospective observational cohort study of 565 consecutive diabetes patients who...

There is limited literature about the outcomes of total hip arthroplasty (THA) as a surgical option for above-knee amputees. Here, we described one case of femoral neck fracture with above-knee amputation. Two-year follow-up revealed an excellent clinical and radiological outcome. The main challenge of THA posed by the amputation was control of the lower extremity. We recommend inserting a pin ...

AIM To study long-term outcome of unilateral above-knee amputation. OBJECTIVE Long-term clinical symptoms and functional status of above-knee amputees are not well documented. The purpose of this study was to document the long-term outcome of war related above-knee amputations. CONTEXT The study consisted of a comprehensive assessment and examination and review of history and wartime medica...

OBJECTIVE To investigate the immediate biomechanical effects after transition to a new microprocessor-controlled prosthetic knee joint. DESIGN Intervention cross-over study with repeated measures. Only prosthetic knee joints were changed. SETTING Motion analysis laboratory. PARTICIPANTS Men (N=11; mean age ± SD, 36.7±10.2y; Medicare functional classification level, 3-4) with unilateral tr...

OBJECTIVE To assess the effects of two types of microprocessor-controlled prosthetic knee joints (MPKs) on perceived performance and everyday life activity level. DESIGN Randomized cross-over trial. SUBJECTS Thirty persons with a unilateral above-knee amputation or knee disarticulation classified as Medicare Functional Classification Level-2. METHODS Participants were measured in 3 condit...

Following amputation, people with transfemoral amputation (TFA) and transtibial amputation (TTA) adapt with asymmetrical movements in the spinal and lower-limb joints. The aim of this review is to describe the trunk, lumbopelvic, and hip joint movement asymmetries of the amputated limb of people with TFA and TTA during functional tasks as compared with the intact leg and/or referent leg of nond...