Non-traumatic lower limb older amputees: A database survey from a geriatric centre

A. Adunsky, M. Wershawski, M. Arad, R. Herutis, I. Siev-Ner, M. Heim

Research output: Contribution to journalArticlepeer-review


Purpose: The purpose of this survey was to examine the characteristic of a geriatric population admitted for amputation of a lower limb and to explore some of the factors that may affect the course of their hospital stay. Method: The study took place in the geriatric division of a tertiary general hospital and included a close geriatric-orthopaedic liaison. Two-hundred and forty-one patients were included in the final analysis. Results: Many above knee amputations were performed, which correlated with advanced age. Rates of in hospital mortality and systemic complications were 16% and 19%, respectively. Thirty-three percent of the patients were discharged back home, and only 6% were supplied with an artificial limb. The general condition of most patients remained poor. Conclusion: We conclude that despite a team approach to the care of the geriatric amputee a poor functional result was obtained. By encouraging earlier referrals from the community it is postulated that a reduction in the costly provision of antibiotics would be beneficial and that perhaps lower levels of amputation could be performed thereby enhancing the possibilities for ambulation.

Original languageEnglish
Pages (from-to)80-84
Number of pages5
JournalDisability and Rehabilitation
Issue number2
StatePublished - 20 Jan 2001
Externally publishedYes


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