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© 1972 British Society for Rheumatology

other

REHABILITATION OF AMPUTEES WITH PROGRESSIVE VASCULAR DISEASE

THEODORE NAJENSON and MICHAEL LEVY

University of Tel Aviv, School of Medicine—Loewenstein Rehabilitation Hospital

Amputees with progressive vascular disease constitute about 76% of the total patients who were rehabilitated in this department during the years 1959 to 1969. The total group of 147 patients with progressive vascular disease was divided into three subgroups for evaluation of results: Group A, diabetic vascular disease—average age at amputation, 66 years; Group B, arteriosclerosis oblkerans (ASO)—average age at amputation, 62 years; and Group C, Buerger's disease—average age at amputation, 41 years. Of the 147 patients 67% were diabetic, which represents an unusually high proportion; the majority were known to have suffered from diabetes for six years or more. There was a clear preponderance of men in the three subgroups. The death rate among the diabetic and ASO patients was particularly high in the first five years after amputation. Evaluation of rehabilitation results among the patients was determined according to their independence. This independence is related to the aetiological factors and the level of amputation. Myocardial infarction reduces the rehabilitation possibilities, and cerebrovascular accidents diminish them even further. Increasing age does not appear to be a deterring factor in relation to success in rehabilitation. Diabetic retinopathy does not affect the chances of successful rehabilitation; however, the high percentage of diabetic retinopathy suggests that illness damages capillaries in amputees.


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