Revista Médica del Uruguay
Print version ISSN 0303-3295
Summary Background: prosthetization is a goal to reach for vascular amputees patients in order to achieve acceptable functional levels and to increase quality of life. Objective: to measure post-prosthetic functionality in vascular amputees. Methods: a retrospective, longitudinal, descriptive and analytic study is described, n = 58, prosthetic vascular amputees at least one year longer. Functionality achieved in the first year and each successive year following the prosthesis was measured using Russek’s Code and hours of prosthesis use. Results: the median age was 70.5. Seventy-one percent (71%) were men. Co-morbility was seen in 86% of the population and diabetes in 51%. Bellow-knee amputees represented 69% of the population and above-knee amputees, 31%. Functionality at year was 41% (Russek, complete rehabilitation) and 80% considering levels 1, 2 and 3 (Russek, functional independence); prosthesis use reached at least half of the expected walk-hours. Followed up patients maintained functionality at year four. Age and above-knee amputation were associated with functionality. Diabetes was not associated with functionality. Conclusions: Russek’s scale was a simple and rapid tool to measure postprosthetic functionality for everyday life activities and walk.
Keywords : IMPLANTACIÓN DE PRÓTESIS VASCULAR.; AMPUTADOS [- rehabilitación]; EXTREMIDAD INFERIOR [cirugía]; ESTUDIOS DE SEGUIMIENTO.; ESTUDIOS RETROSPECTIVOS.