Which factors influence patient perceptions of lower-extremity amputation outcomes?

Updated: Apr 29, 2021
  • Author: Janos P Ertl, MD; Chief Editor: Vinod K Panchbhavi, MD, FACS, FAOA, FABOS, FAAOS  more...
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Answer

In a review to assist in patient management, Matsen et al attempted to identify factors that correlate with the perceived amputation result. [7] Residual limb length made no difference to patients' perceptions. Factors that appeared to influence perceptions included the following:

  • Condition of the contralateral limb
  • Comfort of the residual limb
  • Comfort, function, and appearance of the prosthesis
  • Social factors
  • Ability to participate in recreational activities

Additional emotional and physical impairment issues were posttraumatic stress disorder, sexual dysfunction, and depression. For the 25-35% of patients who experience depression, appropriate consultation should be obtained.


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