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%).
Kihn RB, Golbranson FL, Hutchinson RH, Moore WS, Premer RF, Ruoff AC, Smith AG, Thoroughman JC, Wheeler HB, Warren R. The Immediate Postoperative Prosthesis in Lower Extremity Amputations. Arch Surg. 1970;101(1):40-44. doi:10.1001/archsurg.1970.01340250042010