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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.117 SNIP: 0.228 CiteScore™: 0.17

ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v15.i34.40
18 pages

Rehabilitation Following Major Traumatic Amputation of Lower Limbs—A Review

Miroslav Jelic.
The Institute for Rehabilitation and Orthopedic Devices, University Hospital Center, Zagreb, Croatia
Reuben Eldar
Loewenstein Hospital–Rehabilitation Center, Raanana, Israel


The rehabilitation process and its effectiveness in major lower limb traumatic amputations were reviewed. The review involved critical studies of pertinent reports published in the relevant English-language literature. One hundred fourteen such reports were studied in depth, and their main findings are communicated. Twenty-five (21.9%) of them were published between 1975 and 1989, and the majority (89 or 78.1%) were published from 1990 onward. Rehabilitation starts in the preamputation phase, and throughout the process, the role of rehabilitation physicians in all treatment decisions is pivotal, the involvement of rehabilitation therapists is essential for maximizing patients' mobility and independence, and the psychological support that is provided is very important. Successful rehabilitation relates to both prosthetic mobility performance and an individual's overall level of function in his or her community. Adequate walking with prostheses is available for the majority of traumatic lower limb amputees, but additional ways must be pursued to enhance their full psychosocial integration.

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