Author/Editor		Demšar, Aleš; Plaskan, Lidija
Title		Zgodnja ambulantna protetična oskrba bolnikov po amputacijah na spodnjih udih
Translated title		Early out-patient prosthetic fitting for the patients after lower limb amputations
Type		članek
Source		In: Židanik S, Tušek-Bunc K, editors. Medicinsko tehnični pripomočki. Zbornik 3. mariborski kongres družinske medicine; 2004 nov 26-27; Maribor. Ljubljana: Združenje zdravnikov družinske medicine SZD,
Publication year		2004
Volume		str. 113-6
Language		slo
Abstract		In Slovene population of lower limb amputees elderly patients over 65 years of age with terminal circulatory failure prevail. With increasing average age, the number of lower limb amputees is constantly raising. Elderly people feel most comfortably in their own well known surraundings, therefore the principles of modern rehabilitation dernand out-patient rehabilitation where ever convenient and possible. If the interval between amputation and prosthetic fitting is too long, the well known complications can be expected. Depression, mourning, loss of walking pattern and progressive flexion contracture of the residual limb are the most frequent. Most of the complications can be avoided by immediate prosthetic fitting and early prosthetic rehabilitation on the out-patients basis. ln the hospital the patients start the school of walking with pneumatic walking aid (PWA), which is indicated for the patients with both below-knee amputation, knee exarticulation and above-knee amputation with sufficient residual limb length of either posttraumatic or vascular origin, if claudication distance of the other limb is at least 50 steps. PWA is fitted immediately after the drains are removed, usually on the 2-nd or 3-rd post operative day and walking with weight bearing with or without crutches is promoted. After leaving the hospital, the patient is attending the prosthetic rehabilitation and the school of walking with PWA in our out-patients department twice or three timed a week, with his close relatives included. When the residual limb is properly shoped and mobilised and the patient is able to cover the distance of 50 steps and managing the stairs with the PWA and the crutches, the members of the mobile team of the State Institute for rehabilitation from Ljubljana take measures for temporary prosthesis, which is ready in 7-10 days. (Abstract truncated at 2000 characters).
Descriptors		LEG AMPUTATION ORTHOTIC DEVICES PROSTHESIS FITTING PROSTHESIS