Article

Surgeons still use a range of criteria to determine whether
amputation is indicated. In addition, there is considerable debate regarding
immediate postoperative management, especially concerning the use of
'immediate/delayed fitting' versus conservative elastic bandaging. OBJECTIVES: To
produce an evidence-based guideline for the amputation and prosthetics of the
lower extremities. This guideline provides recommendations in support of daily
practice and is based on the results of scientific research and further
discussions focussed on establishing good medical practice. Part 1 focuses on
amputation surgery and postoperative management. STUDY DESIGN: Systematic
literature design. METHODS: Literature search in five databases. Quality
assessment on the basis of evidence-based guideline development. RESULTS: An
evidence-based multidisciplinary guideline on amputation and prosthetics of the
lower extremity. CONCLUSION: The best care (in general) for patients undergoing
amputation of a lower extremity is presented and discussed.
This part of the
guideline provides recommendations for diagnosis, referral, assessment, and
undergoing amputation of a lower extremity and can be used to provide patient
information. CLINICAL RELEVANCE: This guideline provides recommendations in
support of daily practice and is based on the results of scientific research and
further discussions focussed on establishing good medical practice.
CI - (c) The International Society for Prosthetics and Orthotics 2014.

Langue : ANGLAIS