title: Outcomes of individuals with transfemoral and contralateral transtibial amputation due to dysvascular etiologies.
abstract: OBJECTIVE
  To evaluate the functional outcome of individuals with transfemoral and contralateral transtibial amputations secondary to peripheral vascular disease.
  
  
  METHODS
  A retrospective chart review followed by phone interview. The primary outcome measures were the discharge 2-minute walk test, Frenchay Activities Index, and the Houghton Scale.
  
  
  RESULTS
  There were 31 dysvascular individuals identified to have a combination of transfemoral/transtibial (TF/TT) amputation admitted to our institution for rehabilitation from February 1998 to June 2007. The mortality at follow up was 68%. There were eight surviving amputees. The average 2-minute walk test score was 31.9 m at the time of discharge from our inpatient program. Of these, the average Frenchay Activities Index was 15.3. The average Houghton Scale score for use of the transtibial prosthesis alone was 2.1. The average Houghton Scale score for use of both prostheses was 1.5. Comparisons between groups based on initial amputation level revealed a significant difference of being fitted with a transfemoral prosthesis. Those whom initially had a TT amputation were less likely to ultimately be fitted with a TF prosthesis (X(2) (1,n=31) = 4.76, p < 0.05).
  
  
  CONCLUSIONS
  The overall functional outcome of individuals with a combination of TF/TT amputation due to dysvascular causes is poor. These individuals have a low level of ambulation, activity, and prosthetic use.
authors.affiliation: Department of Physiatry, University of Toronto, Ontario, Canada. sukhi_bhangu@hotmail.com
authors.forename: Sukhinder
authors.initials: S
authors.lastname: Bhangu
authors.forename: Michael
authors.initials: M
authors.lastname: Devlin
authors.forename: Tim
authors.initials: T
authors.lastname: Pauley
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000671:Amputation, Surgical / Q000379:methods* / Q000534:rehabilitation; D000674:Amputees / Q000534:rehabilitation*; D001186:Artificial Limbs / Q000706:statistics & numerical data; D015897:Comorbidity; D003446:Crutches / Q000706:statistics & numerical data; D004185:Disability Evaluation; D005260:Female; D005269:Femur / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D051346:Mobility Limitation; D009864:Ontario; D017063:Outcome Assessment, Health Care; D016491:Peripheral Vascular Diseases / Q000601:surgery*; D012189:Retrospective Studies; D013977:Tibia / Q000601:surgery*; D014853:Walkers / Q000706:statistics & numerical data