title: Major amputations of the lower leg. The patients two years later.
abstract: The most devastating consequence of vascular disease of the lower extremity is amputation. Although considered as the end of the efforts of the vascular procedures, it should not be considered the end of medical treatment of the patient. The purpose of this study was to determine the situation of patients who suffered a major amputation of the lower leg due to ischemic vascular disease, at least two years after this event.
  
  
  METHODS
  Forty-eight patients who had major amputation had their chart reviewed and were contacted to inform about the current conditions of rehabilitation. In case of death, the causes of dismissal were obtained. The degree of rehabilitation was compared to the preoperative level of selfishness.
  
  
  RESULTS
  Before amputation, 15 patients had an independent life, 21 could walk up to 500 meters, seven were confined to a wheel-chair or used crutches and five were bedridden. At least two years later, 54.2% of the patients died and only nine were fully rehabilitated (18.8% of all the patients and 40.9% of the living patients).
  
  
  CONCLUSIONS
  Patients who suffer amputation due to vascular disease do have a low survival rate after two years. Among the survivors, only few patients do have clinical conditions to regain a regular situation of autonomy.
authors.affiliation: Division of Vascular Surgery and Angiology, Beneficência Portuguesa Hospital of São Paulo, Brazil.
authors.forename: M A da Silva
authors.initials: MA
authors.lastname: Buzato
authors.forename: E C
authors.initials: EC
authors.lastname: Tribulatto
authors.forename: S M
authors.initials: SM
authors.lastname: Costa
authors.forename: W G W
authors.initials: WG
authors.lastname: Zorn
authors.forename: B
authors.initials: B
authors.lastname: van Bellen
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods* / Q000401:mortality / Q000534:rehabilitation*; D001157:Arterial Occlusive Diseases / Q000401:mortality / Q000534:rehabilitation / Q000601:surgery; D001186:Artificial Limbs; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D035002:Lower Extremity; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000401:mortality / Q000534:rehabilitation / Q000601:surgery*; D011788:Quality of Life; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D015996:Survival Rate; D016138:Walking / Q000706:statistics & numerical data; D014910:Wheelchairs / Q000706:statistics & numerical data*