AB078. SOH24AB_102. Rate of successful prosthetic rehabilitation post-major lower extremity amputation at tertiary vascular centre
General/Vascular Session

AB078. SOH24AB_102. Rate of successful prosthetic rehabilitation post-major lower extremity amputation at tertiary vascular centre

Hudham Almaskari1, Megan Power Foley2, Elrasheid Kheirelseid2, Seamus McHugh2, Sayed Aly2, Darragh Moneley2, Peter Naughton2

1School of Medicine, Royal College of Surgeons in Ireland, Dublin, Ireland; 2Department of Vascular Surgery, Beaumont Hospital, Beaumont, Dublin, Ireland

Background: Ambulation with a prosthetic limb after major lower extremity amputation (MLEA) is central to restoring function and maintaining independence. However, not all patients are suitable candidates for prosthetic rehabilitation or successfully complete the programme. We performed a retrospective review of recent MLEA to determine rates of ambulation at one-year post-surgery.

Methods: Retrospective review of major amputations performed at tertiary vascular centre between July 2019–November 2022. Cases were identified from the theatre logbooks. Demographic details, indication for surgery, comorbidities, discharge disposition and rehabilitation outcomes were documented using electronic records and manual chart review. Statistical analysis was performed to identify predictive factors for successful rehabilitation.

Results: Fifty-six amputations were performed in 50 patients during the study period. The median age was 62.5 years (range: 27–85 years) and 75.5% were male. Thirty-three above-knee amputations (AKA) and 23 below-knee amputations (BKA) were performed. The majority were performed for ischaemia (66%). Twenty-eight patients (58%) were referred to the Prosthetic Orthotics and Limb Absence Rehabilitation (POLAR) programme, of whom eleven (39%) were ambulating at one year. Of the remaining referrals, seven are continuing with rehab, one turned down a prosthetic, six were ultimately unsuitable and data was unavailable for three. AKA (P<0.001), male gender (P=0.016), congestive cardiac failure (P=0.035) and chronic kidney disease (CKD) (P=0.038) were significantly associated with failure to rehabilitate.

Conclusions: Post-amputation rehabilitation is critically important for patients. Out of those referred to POLAR, just under half are successfully mobilising with a prosthetic. Further study is needed to investigate factors impacting successful ambulation.

Keywords: Amputation; rehabilitation; peripheral arterial disease; frailty; diabetes

Acknowledgments

Funding: None.

Footnote

Conflicts of Interest: The authors have no conflicts of interest to declare.

Ethical Statement: The authors are accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/.

doi: 10.21037/map-24-ab078
Cite this abstract as: Almaskari H, Power Foley M, Kheirelseid E, McHugh S, Aly S, Moneley D, Naughton P. AB078. SOH24AB_102. Rate of successful prosthetic rehabilitation post-major lower extremity amputation at tertiary vascular centre. Mesentery Peritoneum 2024;8:AB078.

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