title: Dundee revisited--25 years of a total amputee service.
abstract: The Dundee Limb Fitting Centre has provided an integrated rehabilitation programme for the amputee since 1965. A review of 1846 primary amputees is discussed. During this period a dramatic change in the above-knee/below-knee (AK/BK) ratio has been achieved with 71% BK and 26% AK occurring in 1989. Over 80% of all amputees, the majority being elderly with peripheral vascular disease, were successfully fitted with a prosthesis. Final discharge home or to a residential home for the elderly was achieved in 76.2% of cases with 3.6% dying in the Unit. Bilateral amputation occurred in 18% of cases of whom 48% were BK-BK. Overall 66% were successfully fitted with a prosthesis. The results demonstrate the advantages of an integrated approach to the amputation and consequent rehabilitation.
authors.affiliation: Dundee Limb Fitting Centre, Scotland.
authors.forename: C P
authors.initials: CP
authors.lastname: Stewart
authors.forename: A S
authors.initials: AS
authors.lastname: Jain
mesh_terms: D000368:Aged; D000671:Amputation, Surgical / Q000379:methods / Q000534:rehabilitation / Q000706:statistics & numerical data* / Q000639:trends; D005260:Female; D006302:Health Services Research; D006801:Humans; D008297:Male; D010351:Patient Discharge / Q000706:statistics & numerical data / Q000639:trends; D015397:Program Evaluation; D019736:Prostheses and Implants / Q000706:statistics & numerical data / Q000639:trends; D012047:Rehabilitation Centers / Q000458:organization & administration / Q000706:statistics & numerical data; D012606:Scotland; D016896:Treatment Outcome; D014910:Wheelchairs / Q000600:supply & distribution