par Welraeds, Daniel
Référence Revue médicale de Bruxelles, 19, 3, page (125-129)
Publication Publié, 1998
Article révisé par les pairs
Résumé : Rehabilitation of elderly amputees raises several issues. Taking into account that amputations are frequently performed in elderly patients, with vascular diseases, it seems relevant to ask whether it is preferable to perform an amputation and quickly rehabilitate the patient or to attempt revascularisation and save the patient's limb. The knowledge of the outcome of amputation is crucial for the choice of treatment Therefore, we discuss limb amputation In old patients in terms of epidemiology, aetiology, functionnal characteristics, specific problems and results with regards to expectations. Types and characteristics of prostheses, as well as rehabilitation and cost-effectiveness are briefly discussed. It is concluded that amputation is a mutilating procedure which carries for the elderly a poor outcome in terms of rehabilitation. Consequently any surgical procedure that may spare the limb should be prefered.