LOWER LIMB AMPUTATIONS CAUSED BY TUMOURS AND PROSTHETIC REHABILITATION IN CROATIA FROM 2000 TO 2004

Autori:

Neven Kauzlarić, Robert Kolundžić, Miroslav Jelić, Katarina Sekelj Kauzlarić, Ida Kovač

Sažetak
Tijekom petogodišnjeg razdoblja (2000. - 2004. g) promatrano je 46 (25 muškaraca i 21 žena) bolesnika koji su u Zavod za rehabilitaciju i ortopedska pomagala KBC-a Zagreb bili primljeni na prvu protetičku rehabilitaciju nakon amputacije noge zbog tumora. Prosječna dob bolesnika bila je 51 godina±17,11. Prema patohistološkom nalazu najčešći uzrok amputacije noge bio je osteosarkom. Prema razini amputacije najzastupljenija je bila transfemoralna amputacija (50%), a najmanje je bilo dezartikulacija u koljenu (8,7%). Prosječno je proteklo 108±67,05 dana od amputacije do početka protetičke rehabilitacije. Lokalne komplikacije na bataljku kod dolaska imalo je 15,2% bolesnika, a na utvarsku bol žalilo se njih 34,8%. Prosječno trajanje protetičke rehabilitacije bilo je 35±7,94 dana. Srednje dnevno korištenje proteze bilo je 5 h, a srednja brzina hoda 12 s/10 m. Kod odlaska 89,1% pacijenata bilo je osposobljeno za hod s protezom i dvijema štakama, 4,4% za hod s jednom štakom, a 6,5% moglo se kretati s protezma bez štaka. Rezultatima protetičke rehabilitacije možemo biti zadovoljni jer je postignuta vrlo dobra mobilnost naših bolesnika te njihova neovisnost u aktivnostima svakodnevnog života.
Summary

Summary. During the period of five years (2000–2004) we monitored 46 patients (25 males and 21 females) who were admitted to Clinical Institute for Rehabilitation and Orthopaedic Aids in Zagreb for the first prosthetic rehabilitation follow- ing the lower limb amputation which was caused by a tumour. The average age of patients was 51±17.11 years. According to the pathohistological diagnosis the most common cause of lower limb amputations was osteosarcoma. According to the level of amputation the most frequent was trans-femoral amputation (50%) and the least frequent was knee disarticulation (8.7%). The average number of days from the amputation to the beginning of prosthetic rehabilitation was 108±67.05. At the time of admission 15.2% of patients had local complications of the stump and 34.8% of patients complained of phantom pain. The average number of days of prosthetic rehabilitation was 35±7.94. The medium daily use of the prosthesis was 5 hours and the medium walking speed was 12 sec/10 m. At the time of admission for the prosthetic rehabilitation 10.9% of patients used a wheelchair, 8.7% walked with a walker and others with two crutches. At the time of discharge 89.1% of patients were able to walk with a prosthesis and two crutches, 4.4% with one crutch and 6.5% were able to walk without crutches. We can be satisfied with the results of prosthetic independence in performing their daily activities.

Volumen: 5-6, 2006

Liječ Vjesn 2006;128:139-143

Ida Kovač, Katarina Sekelj Kauzlarić, Miroslav Jelić, Neven Kauzlarić, Robert Kolundžić

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