July 1970

The Immediate Postoperative Prosthesis in Lower Extremity Amputations

Author Affiliations

Washington, DC; Livermore, Calif; Long Beach, Calif; San Francisco; Minneapolis; Salt Lake City; Brooklyn, NY; Atlanta; West Roxbury, Mass; Boston
From the Department of Medicine and Surgery, Veterans Administration Central Office, Washington, DC (Dr. Kihn), and the following VA hospitals: Livermore, Calif (Dr. Golbranson); Long Beach, Calif (Dr. Hutchinson); San Francisco (Dr. Moore); Minneapolis (Dr. Premer); Salt Lake City (Dr. Ruoff); Brooklyn, NY (Dr. Smith); Atlanta (Dr. Thoroughman); West Roxbury, Mass (Dr. Wheeler). Dr. Warren is chief editor of the ARCHIVES.

Arch Surg. 1970;101(1):40-44. doi:10.1001/archsurg.1970.01340250042010

A collaborative study by teams in eight Veterans Administration hospitals in 1967 and 1968 of 182 cases of the immediate postoperative prosthetic fitting technique is reported. One hundred and fifty-four (84%) were "rehabilitation successes"; 14 (7%) healed but could not be rehabilitated and 17 (9%) were healing failures, two of whom died (a mortality of 1.1%). Success in both healing and rehabilitation was greater in the patients with good circulation than in the ischemic ones, all 17 healing failures occurring in the 116 below-the-knee amputations (BKs) done for ischemia. Nevertheless, rehabilitation was accomplished in these ischemic BK operations in 91 instances (78%).